Walters, Debra Kay
Walters, Debra Kay is an individual health care provider with primary practice located at 2709 N Tejon St , Colorado Springs CO 80907-6231. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Walters, Debra Kay can be contacted via phone (719) 473-0872.Contact Information
Primary practice address
2709 N Tejon St
Colorado Springs CO 80907-6231
Phone: (719) 473-0872
Fax: (719) 630-3658
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 82294 | Colorado |
Profile Details
| NPI number | 1548254105 |
|---|---|
| LBN Legal business name | Walters, Debra Kay |
| Credentials | NPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 9th, 2005 |
| Last updated | Oct 23rd, 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 | 1548254105 | NPPES |
| Colorado | Other | 82294 | COLORADO LICENSE |
| Colorado | Other | C99908 | COLORADO LICENSE |
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