Walters, Jerome
Walters, Jerome is an sole proprietor health care provider with primary practice located at 3715 S 141St St Apt 6 , Tukwila WA 98168-4049. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Walters, Jerome can be contacted via phone (206) 747-6446.Contact Information
Primary practice address
3715 S 141St St Apt 6
Tukwila WA 98168-4049
Phone: (206) 747-6446
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 00006135 | Washington |
Profile Details
| NPI number | 1598153280 |
|---|---|
| LBN Legal business name | Walters, Jerome |
| Credentials | CDP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2015 |
| Last updated | Jan 3rd, 2015 - about 11 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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