Wynkoop, Walter Alan
Wynkoop, Walter Alan is an individual health care provider with primary practice located at 3 Plaza Dr Suite 2, Toms River NJ 08757-3756. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Wynkoop, Walter Alan can be contacted via phone (732) 341-1380.Contact Information
Primary practice address
3 Plaza Dr Suite 2
Toms River NJ 08757-3756
Phone: (732) 341-1380
Fax: (732) 505-9296
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 25MA07510000 | New Jersey |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 25MA07510000 | New Jersey |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 25MA07510000 | New Jersey |
Profile Details
| NPI number | 1992774657 |
|---|---|
| LBN Legal business name | Wynkoop, Walter Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2006 |
| Last updated | Dec 22nd, 2014 - about 11 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 | 1992774657 | NPPES |
| New Jersey | MEDICAID | 0009199 | |
| New Jersey | Other | P00050076 |
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