Walters, Gloria

Walters, Gloria is an individual health care provider with primary practice located at 100 Emancipation Dr , Hampton VA 23667-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Walters, Gloria can be contacted via phone (757) 722-9961.

Contact Information

Primary practice address
100 Emancipation Dr Hampton VA 23667-0001
Phone: (757) 722-9961
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 48081 Minnesota
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 35088765 Ohio
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 20665 Mississippi

Profile Details

NPI number 1952380909
LBN Legal business name Walters, Gloria
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Oct 8th, 2012 - about 14 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 1952380909 NPPES
Minnesota MEDICAID 490043000
Minnesota Other P00806766
Minnesota Other 302I059650

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