Evenhuis, Walther R
Evenhuis, Walther R is an individual health care provider with primary practice located at 3330 Northside Dr Ste 200 , Macon GA 31210-2574. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Evenhuis, Walther R can be contacted via phone (478) 309-1809.Contact Information
Primary practice address
3330 Northside Dr Ste 200
Macon GA 31210-2574
Phone: (478) 309-1809
Fax: (478) 272-3589
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 111139 | Georgia |
Profile Details
| NPI number | 1669524575 |
|---|---|
| LBN Legal business name | Evenhuis, Walther R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2007 |
| Last updated | May 11th, 2026 - about 5 months 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 | 1669524575 | NPPES |
| Florida | MEDICAID | 260221100 | |
| Florida | MEDICAID | 003346849B |
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