Walters, Henry Lane

Walters, Henry Lane is an individual health care provider with primary practice located at 3901 Beaubien St , Detroit MI 48201-2119. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Walters, Henry Lane can be contacted via phone (313) 745-5538.

Contact Information

Primary practice address
3901 Beaubien St Detroit MI 48201-2119
Phone: (313) 745-5538
Fax: (313) 993-0531
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301059126 Michigan
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 430105916 Michigan

Profile Details

NPI number 1174503981
LBN Legal business name Walters, Henry Lane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Feb 18th, 2009 - about 15 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 1174503981 NPPES
Michigan MEDICAID 286376510
Michigan Other 0208211331

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