Walters, Robert G.

Walters, Robert G. is an sole proprietor health care provider with primary practice located at 120 Walnut Commons Ln Ste A , Cookeville TN 38501-6037. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Walters, Robert G. can be contacted via phone (615) 220-8788.

Contact Information

Primary practice address
120 Walnut Commons Ln Ste A Cookeville TN 38501-6037
Phone: (615) 220-8788
Fax: (615) 220-8688
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 834 Tennessee

Profile Details

NPI number 1932118643
LBN Legal business name Walters, Robert G.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2006
Last updated Jul 15th, 2024 - about 5 months 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1932118643 NPPES
Illinois MEDICAID 1932118643 1
Illinois MEDICAID Q037426
Illinois Other 909010
Illinois Other 480035000

Popular Providers