Maack, Walter C.

Maack, Walter C. is an sole proprietor health care provider with primary practice located at 1375 University Avenue Healdsburg District Hospital, Healdsburg CA 95448. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Maack, Walter C. can be contacted via phone (707) 431-6500.

Contact Information

Primary practice address
1375 University Avenue Healdsburg District Hospital Healdsburg CA 95448
Phone: (707) 431-6500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G23577 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G23577 California

Profile Details

NPI number 1588765416
LBN Legal business name Maack, Walter C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2006
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 1588765416 NPPES
California MEDICAID 00G235770

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