Walters, Jeannine T

Walters, Jeannine T is an individual health care provider with primary practice located at 2000 Boise Ave , Loveland CO 80538-5006. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Walters, Jeannine T can be contacted via phone (970) 635-4071.

Contact Information

Primary practice address
2000 Boise Ave Loveland CO 80538-5006
Phone: (970) 635-4071
Fax: (970) 635-4177
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X O271 Idaho
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X DR.0049739 Colorado

Profile Details

NPI number 1699717629
LBN Legal business name Walters, Jeannine T
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Oct 13th, 2022 - about 2 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 1699717629 NPPES
Colorado MEDICAID 83809261

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