Walters, Dana Marie
Walters, Dana Marie is an sole proprietor health care provider with primary practice located at 1542 Tulane Ave , New Orleans LA 70112-2865. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Walters, Dana Marie can be contacted via phone (504) 568-8655.Contact Information
Primary practice address
1542 Tulane Ave
New Orleans LA 70112-2865
Phone: (504) 568-8655
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 15633R | Louisiana |
Profile Details
| NPI number | 1023048956 |
|---|---|
| LBN Legal business name | Walters, Dana Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023048956 | NPPES |
| Louisiana | MEDICAID | 04339 |
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