Walt, David

Walt, David is an individual health care provider with primary practice located at 810 E Sunflower Rd Suite 100A, Cleveland MS 38732-2800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Walt, David can be contacted via phone (662) 843-3606.

Contact Information

Primary practice address
810 E Sunflower Rd Suite 100A Cleveland MS 38732-2800
Phone: (662) 843-3606
Fax: (662) 846-1194
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 09199 Mississippi

Profile Details

NPI number 1205895448
LBN Legal business name Walt, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Dec 11th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1205895448 NPPES
Mississippi MEDICAID 00115142
Mississippi Other P00232468

Popular Providers