Walters, Frederick Charles

Walters, Frederick Charles is an individual health care provider with primary practice located at 1298 Grow Ave Nw , Bainbridge Island WA 98110. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Walters, Frederick Charles can be contacted via phone (206) 780-5437.

Contact Information

Primary practice address
1298 Grow Ave Nw Bainbridge Island WA 98110
Phone: (206) 780-5437
Fax: (206) 780-5438
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD00040201 Washington

Profile Details

NPI number 1659429793
LBN Legal business name Walters, Frederick Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Jun 7th, 2018 - about 8 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 1659429793 NPPES
Washington Other 7675WA BLUE SHIELD #
Washington Other 0039577 BLUE SHIELD #
Washington Other US7740466 BLUE SHIELD #
Washington MEDICAID 8369928 BLUE SHIELD #

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