Walters, Theodore A

Walters, Theodore A is an individual health care provider with primary practice located at 100 E Idaho St , Boise ID 83712-6267. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Walters, Theodore A can be contacted via phone (208) 381-2711.

Contact Information

Primary practice address
100 E Idaho St Boise ID 83712-6267
Phone: (208) 381-2711
Fax: (208) 381-4025
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X M3117 Idaho
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X M3117 Idaho

Profile Details

NPI number 1821016718
LBN Legal business name Walters, Theodore A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Dec 28th, 2015 - about 10 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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