Walters, Marie B
Walters, Marie B is an individual health care provider with primary practice located at 18645 W Warren Ave Svs Vision Inc, Detroit MI 48228. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Walters, Marie B can be contacted via phone (313) 240-7551.Contact Information
Primary practice address
18645 W Warren Ave Svs Vision Inc
Detroit MI 48228
Phone: (313) 240-7551
Fax: (313) 240-8621
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901002627 | Michigan |
Profile Details
| NPI number | 1891841912 |
|---|---|
| LBN Legal business name | Walters, Marie B |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Aug 19th, 2009 - about 17 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 | 1891841912 | NPPES |
| Michigan | MEDICAID | 944737405 |
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