Bader, Walid G

Bader, Walid G is an individual health care provider with primary practice located at 77 Herrick St Suite 101, Beverly MA 01915-2734. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bader, Walid G can be contacted via phone (978) 927-4110.

Contact Information

Primary practice address
77 Herrick St Suite 101 Beverly MA 01915-2734
Phone: (978) 927-4110
Fax: (978) 232-7057
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 1117 South Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 224414 Massachusetts

Profile Details

NPI number 1134184161
LBN Legal business name Bader, Walid G
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Jan 6th, 2021 - about 5 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 1134184161 NPPES
Massachusetts MEDICAID 2113601
Massachusetts MEDICAID 011178
Massachusetts Other WB58304

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