Walth, Doran

Walth, Doran is an individual health care provider with primary practice located at 900 E Broadway Ave , Bismarck ND 58501-4520. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Walth, Doran can be contacted via phone (701) 530-7000.

Contact Information

Primary practice address
900 E Broadway Ave Bismarck ND 58501-4520
Phone: (701) 530-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R18918 North Dakota

Profile Details

NPI number 1992858831
LBN Legal business name Walth, Doran
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated May 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992858831 NPPES
North Dakota MEDICAID 1452799

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