Wilson, Walter Wray
Wilson, Walter Wray is an individual health care provider with primary practice located at 10221 Gibson Rd , Hayden Lake ID 83835-9567. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wilson, Walter Wray can be contacted via phone (208) 772-1912.Contact Information
Primary practice address
10221 Gibson Rd
Hayden Lake ID 83835-9567
Phone: (208) 772-1912
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M2288 | Idaho |
Profile Details
| NPI number | 1639334048 |
|---|---|
| LBN Legal business name | Wilson, Walter Wray |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2008 |
| Last updated | Jul 24th, 2008 - about 18 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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