Walters, Keith P
Walters, Keith P is an individual health care provider with primary practice located at 370 Country Club Rd Ste A , Holland MI 49423-8303. He recently has only one registered license in Other Service Providers / Prevention Professional, which is considered as his primary health care specialty. Walters, Keith P can be contacted via phone (616) 836-2896.Contact Information
Primary practice address
370 Country Club Rd Ste A
Holland MI 49423-8303
Phone: (616) 836-2896
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Prevention Professional | 405300000X | N438257 | Michigan |
Profile Details
| NPI number | 1114481868 |
|---|---|
| LBN Legal business name | Walters, Keith P |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 28th, 2019 |
| Last updated | Jan 28th, 2019 - about 5 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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