Walters, Leah M

Walters, Leah M is an individual health care provider with primary practice located at 705 Pleasant Ave S , Park Rapids MN 56470-1440. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Walters, Leah M can be contacted via phone (218) 732-2800.

Contact Information

Primary practice address
705 Pleasant Ave S Park Rapids MN 56470-1440
Phone: (218) 732-2800
Fax: (218) 732-2874
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X 1507 Minnesota
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 1507 Minnesota

Profile Details

NPI number 1407897168
LBN Legal business name Walters, Leah M
Credentials RDLD/CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Aug 8th, 2012 - about 12 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 1407897168 NPPES
Minnesota Other 6300061 MEDICA #
Minnesota MEDICAID 1407897168 MEDICA #
Minnesota Other 6D677WA MEDICA #
Minnesota Other 6D679WA MEDICA #
Minnesota Other 6300062 MEDICA #
Minnesota Other 6300063 MEDICA #
Minnesota Other 15790 MEDICA #
Minnesota Other 6D678WA MEDICA #

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