Smith, Walter John

Smith, Walter John is an sole proprietor health care provider with primary practice located at 435 Warren St , Roxbury MA 02119-1833. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Smith, Walter John can be contacted via phone (617) 541-3670.

Contact Information

Primary practice address
435 Warren St Roxbury MA 02119-1833
Phone: (617) 541-3670
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1930 Massachusetts

Profile Details

NPI number 1972736338
LBN Legal business name Smith, Walter John
Credentials LADC 1
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2009
Last updated Sep 1st, 2009 - about 16 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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