Balfour, Walter Ernest
Balfour, Walter Ernest is an sole proprietor health care provider with primary practice located at 219 W Coal Ave , Gallup NM 87301-6305. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Balfour, Walter Ernest can be contacted via phone (505) 863-6448.Contact Information
Primary practice address
219 W Coal Ave
Gallup NM 87301-6305
Phone: (505) 863-6448
Fax: (505) 722-6491
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 240 | New Mexico |
Profile Details
| NPI number | 1083770119 |
|---|---|
| LBN Legal business name | Balfour, Walter Ernest |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 1st, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1083770119 | NPPES |
| New Mexico | MEDICAID | P-2736 |
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