Parkhurst, Walter Douglas
Parkhurst, Walter Douglas is an individual health care provider with primary practice located at 4980 Alpha Ln , Hixson TN 37343-5470. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Parkhurst, Walter Douglas can be contacted via phone (423) 870-2450.Contact Information
Primary practice address
4980 Alpha Ln
Hixson TN 37343-5470
Phone: (423) 870-2450
Fax: (423) 877-5208
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 11347 | Tennessee |
Profile Details
| NPI number | 1265406763 |
|---|---|
| LBN Legal business name | Parkhurst, Walter Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Mar 9th, 2022 - about 4 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 | 1265406763 | NPPES |
| Tennessee | MEDICAID | Q020159 |
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