Walters, Robert Edmond

Walters, Robert Edmond is an individual health care provider with primary practice located at 6160 Kempsville Cir Ste 325A , Norfolk VA 23502-3933. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Walters, Robert Edmond can be contacted via phone (757) 354-2885.

Contact Information

Primary practice address
6160 Kempsville Cir Ste 325A Norfolk VA 23502-3933
Phone: (757) 354-2885
Fax: (757) 917-5141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 0101234417 Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101234417 Virginia

Profile Details

NPI number 1174503890
LBN Legal business name Walters, Robert Edmond
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Aug 4th, 2020 - about 5 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 1174503890 NPPES
Virginia MEDICAID 010015103

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