Walters, Michelle
Walters, Michelle is an individual health care provider with primary practice located at 55 W Sunbridge Dr , Fayetteville AR 72703-1825. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Walters, Michelle can be contacted via phone (479) 442-6266.Contact Information
Primary practice address
55 W Sunbridge Dr
Fayetteville AR 72703-1825
Phone: (479) 442-6266
Fax: (479) 521-3877
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | J0332 | Texas |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | E-14832 | Arkansas |
Profile Details
| NPI number | 1558344127 |
|---|---|
| LBN Legal business name | Walters, Michelle |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2005 |
| Last updated | Apr 20th, 2022 - 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 | 1558344127 | NPPES |
| Texas | MEDICAID | 123154004 | |
| Texas | MEDICAID | 172461901 |
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