Walter, Gregory L

Walter, Gregory L is an sole proprietor health care provider with primary practice located at 5219 Peters Creek Rd Nw Suite 5, Roanoke VA 24019-3864. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Walter, Gregory L can be contacted via phone (540) 362-0811.

Contact Information

Primary practice address
5219 Peters Creek Rd Nw Suite 5 Roanoke VA 24019-3864
Fax: (540) 362-5025
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 0104000425 Virginia

Profile Details

NPI number 1902802457
LBN Legal business name Walter, Gregory L
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2005
Last updated Jun 9th, 2010 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902802457 NPPES
Virginia Other 018116 ANTHEM PROVIDER NUMBER

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