Walters, John T
Walters, John T is an individual health care provider with primary practice located at 1001 Noble St , Fairbanks AK 99701-4922. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Walters, John T can be contacted via phone (907) 458-2682.Contact Information
Primary practice address
1001 Noble St
Fairbanks AK 99701-4922
Phone: (907) 458-2682
Fax: (907) 458-2628
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 142182 | Alaska |
Profile Details
| NPI number | 1215924659 |
|---|---|
| LBN Legal business name | Walters, John T |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2005 |
| Last updated | Mar 7th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215924659 | NPPES |
| Alaska | MEDICAID | MDA0001 |
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