Walters, Bruce
Walters, Bruce is an individual health care provider with primary practice located at 12265 James St , Holland MI 49424-8613. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Walters, Bruce can be contacted via phone (517) 545-5944.Contact Information
Primary practice address
12265 James St
Holland MI 49424-8613
Phone: (517) 545-5944
Fax: (517) 545-7390
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 4301063906 | Michigan |
Profile Details
| NPI number | 1952318636 |
|---|---|
| LBN Legal business name | Walters, Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2006 |
| Last updated | Feb 15th, 2012 - about 12 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 | 1952318636 | NPPES |
| Michigan | MEDICAID | 103234489 |
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