Walters, David L
Walters, David L is an individual health care provider with primary practice located at 6 Northwestern Dr Suite # 305, Bloomfield CT 06002-3463. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Walters, David L can be contacted via phone (860) 242-8591.Contact Information
Primary practice address
6 Northwestern Dr Suite # 305
Bloomfield CT 06002-3463
Phone: (860) 242-8591
Fax: (860) 242-2511
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 023591 | Connecticut |
Profile Details
| NPI number | 1356303325 |
|---|---|
| LBN Legal business name | Walters, David L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Sep 10th, 2013 - 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 | 1356303325 | NPPES |
| Connecticut | MEDICAID | 001235910 |
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