Walters, Cynthia A

Walters, Cynthia A is an individual health care provider with primary practice located at 2817 New Pinery Rd Divine Savior Healthcare Inc, Portage WI 53901-9257. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Walters, Cynthia A can be contacted via phone (608) 742-4131.

Contact Information

Primary practice address
2817 New Pinery Rd Divine Savior Healthcare Inc Portage WI 53901-9257
Phone: (608) 742-4131
Fax: (608) 742-6098
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1543023 Wisconsin

Profile Details

NPI number 1770566911
LBN Legal business name Walters, Cynthia A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770566911 NPPES
Wisconsin MEDICAID 41988100

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