Walters, Alan S

Walters, Alan S is an individual health care provider with primary practice located at 804 Ainsworth Dr Suite 103, Prescott AZ 86301-1624. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Walters, Alan S can be contacted via phone (928) 771-1011.

Contact Information

Primary practice address
804 Ainsworth Dr Suite 103 Prescott AZ 86301-1624
Fax: (928) 771-1332
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 23577 Arizona
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 23577 Arizona

Profile Details

NPI number 1982711057
LBN Legal business name Walters, Alan S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982711057 NPPES
Arizona Other AZ0766770 BCBS
Arizona Other 5162511 BCBS

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