Hancock, Walter
Hancock, Walter is an sole proprietor health care provider with primary practice located at 2042 Lincoln Ave , Evansville IN 47714-1561. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Hancock, Walter can be contacted via phone (812) 477-1821.Contact Information
Primary practice address
2042 Lincoln Ave
Evansville IN 47714-1561
Phone: (812) 477-1821
Fax: (812) 475-0327
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 07000330 | Indiana |
Profile Details
| NPI number | 1649383852 |
|---|---|
| LBN Legal business name | Hancock, Walter |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 15th, 2006 |
| Last updated | Jun 17th, 2011 - about 15 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 | 1649383852 | NPPES |
| Indiana | MEDICAID | 100110420 |
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