Walters, Jean M
Walters, Jean M is an individual health care provider with primary practice located at 1041 Route 28 , South Yarmouth MA 02664-4115. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Walters, Jean M can be contacted via phone (508) 394-1325.Contact Information
Primary practice address
1041 Route 28
South Yarmouth MA 02664-4115
Phone: (508) 394-1325
Fax: (508) 760-9717
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | PH16857 | Massachusetts |
Profile Details
| NPI number | 1033493416 |
|---|---|
| LBN Legal business name | Walters, Jean M |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2011 |
| Last updated | Oct 4th, 2011 - about 13 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 | 1033493416 | NPPES |
| Massachusetts | Other | PH16857 | BOARD OF PHARMACY PHARMACIST REGISTRATION |
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