Walters, Daniel Claybourn
Walters, Daniel Claybourn is an sole proprietor health care provider with primary practice located at 580 Farringdom St , Lumberton NC 28358-2615. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Walters, Daniel Claybourn can be contacted via phone (910) 671-4601.Contact Information
Primary practice address
580 Farringdom St
Lumberton NC 28358-2615
Phone: (910) 671-4601
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 8190 | North Carolina |
Profile Details
NPI number | 1669623104 |
---|---|
LBN Legal business name | Walters, Daniel Claybourn |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 2nd, 2008 |
Last updated | Oct 2nd, 2008 - about 16 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 | 1669623104 | NPPES |
North Carolina | MEDICAID | 5909749 |
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