Gribben, Walter Blake
Gribben, Walter Blake is an individual health care provider with primary practice located at 1440 Narrow Lane Pkwy , Montgomery AL 36111-2654. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Gribben, Walter Blake can be contacted via phone (334) 281-4140.Contact Information
Primary practice address
1440 Narrow Lane Pkwy
Montgomery AL 36111-2654
Phone: (334) 281-4140
Fax: (334) 281-4198
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2014012620 | Missouri |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 2014012620 | Missouri |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 2014012620 | Missouri |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD.42619 | Alabama |
Profile Details
| NPI number | 1619296795 |
|---|---|
| LBN Legal business name | Gribben, Walter Blake |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2010 |
| Last updated | Jul 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619296795 | NPPES |
| Illinois | MEDICAID | ENROLLED | |
| Illinois | MEDICAID | 268374 |
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