Walworth, Edward Z.
Walworth, Edward Z. is an individual health care provider with primary practice located at 710 Main St , Lewiston ME 04240-5801. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Walworth, Edward Z. can be contacted via phone (207) 783-1449.Contact Information
Primary practice address
710 Main St
Lewiston ME 04240-5801
Phone: (207) 783-1449
Fax: (207) 777-3865
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1023004496 |
|---|---|
| LBN Legal business name | Walworth, Edward Z. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2005 |
| Last updated | Jan 28th, 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 | 1023004496 | NPPES |
| Maine | MEDICAID | 240490099 |
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