Walters, Mary

Walters, Mary is an sole proprietor health care provider with primary practice located at 5876 Mark Lebleu Rd , Lake Charles LA 70615-4501. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Walters, Mary can be contacted via phone (337) 794-4207.

Contact Information

Primary practice address
5876 Mark Lebleu Rd Lake Charles LA 70615-4501
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1831717016
LBN Legal business name Walters, Mary
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2020
Last updated Jul 14th, 2020 - about 6 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.

Request for update

Popular Providers