Wynne, Walter L
Wynne, Walter L is an sole proprietor health care provider with primary practice located at 2131 W 3Rd St St Vincent Medical Center, Los Angeles CA 90057-1901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Wynne, Walter L can be contacted via phone (310) 874-0623.Contact Information
Primary practice address
2131 W 3Rd St St Vincent Medical Center
Los Angeles CA 90057-1901
Phone: (310) 874-0623
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | A043607 | California |
Profile Details
| NPI number | 1396797817 |
|---|---|
| LBN Legal business name | Wynne, Walter L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2006 |
| Last updated | May 13th, 2010 - about 14 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 | 1396797817 | NPPES |
| California | Other | A043607 | STATE LICENSE |
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