Walters, Philip James
Walters, Philip James is an individual health care provider with primary practice located at 2201 Brunswick Dr Ste 1200 , Hanover PA 17331-8350. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Walters, Philip James can be contacted via phone (717) 637-0470.Contact Information
Primary practice address
2201 Brunswick Dr Ste 1200
Hanover PA 17331-8350
Phone: (717) 637-0470
Fax: (717) 637-4987
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | SP012411 | Pennsylvania |
Profile Details
| NPI number | 1558613125 |
|---|---|
| LBN Legal business name | Walters, Philip James |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 8th, 2012 |
| Last updated | May 6th, 2021 - about 4 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 | 1558613125 | NPPES |
| Pennsylvania | Other | 1615266 | GATEWAY MEDICARE ASSURED |
| Pennsylvania | Other | 2753065 | GATEWAY MEDICARE ASSURED |
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