Green, Walter Howard

Green, Walter Howard is an sole proprietor health care provider with primary practice located at 16 Fort River Rd , Verona VA 24482-0951. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Green, Walter Howard can be contacted via phone (540) 248-0903.

Contact Information

Primary practice address
16 Fort River Rd Verona VA 24482-0951
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101029661 Virginia

Profile Details

NPI number 1306051073
LBN Legal business name Green, Walter Howard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306051073 NPPES
Virginia Other 0101029661 VA STATE LICENCE NUMBER

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