Walters, William J

Walters, William J is an individual health care provider with primary practice located at 923 E Central Ave , La Follette TN 37766-2768. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Walters, William J can be contacted via phone (423) 907-1200.

Contact Information

Primary practice address
923 E Central Ave La Follette TN 37766-2768
Phone: (423) 907-1200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 11726 Tennessee
Allopathic & Osteopathic Physicians / General Practice 208D00000X 11726 Tennessee

Profile Details

NPI number 1740258656
LBN Legal business name Walters, William J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Jul 10th, 2015 - about 10 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 1740258656 NPPES
Tennessee MEDICAID 3184458

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