Walters, Laura Marie
Walters, Laura Marie is an individual health care provider with primary practice located at 1911 E Rezanof Dr , Kodiak AK 99615-6602. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Walters, Laura Marie can be contacted via phone (907) 481-5000.Contact Information
Primary practice address
1911 E Rezanof Dr
Kodiak AK 99615-6602
Phone: (907) 481-5000
Fax: (907) 481-5030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4067 | Alaska |
Profile Details
| NPI number | 1831162825 |
|---|---|
| LBN Legal business name | Walters, Laura Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2006 |
| Last updated | Dec 6th, 2017 - about 9 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 | 1831162825 | NPPES |
| Other | 920088665 | CLINIC TAX ID | |
| MEDICAID | MD4067 | CLINIC TAX ID |
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