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
Phone: (928) 771-1011
Fax: (928) 771-1332
Website:
Health care specialties
| Specialty | Code | License # | 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 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982711057 | NPPES |
| Arizona | Other | AZ0766770 | BCBS |
| Arizona | Other | 5162511 | BCBS |
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