Walters, Mark
Walters, Mark is an individual health care provider with primary practice located at 26243 State Highway 51 , Wagoner OK 74467-8740. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Walters, Mark can be contacted via phone (918) 616-6137.Contact Information
Primary practice address
26243 State Highway 51
Wagoner OK 74467-8740
Phone: (918) 616-6137
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1053882175 |
|---|---|
| LBN Legal business name | Walters, Mark |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 16th, 2018 |
| Last updated | Dec 16th, 2018 - about 7 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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