National Provider Identifier Database

PATRICK R WALTER, PA – NPI #1679891907
Surgical


Contact Information

PATRICK R WALTER, PA
904 5TH AVE NE
JAMESTOWN, ND58401-3437
Phone: 701-253-4020
Fax: 701-253-4040
Website:
Specialty Taxonomy Code
* Surgical 363AS0400X

* Indicates primary specialty

NPI Profile & details for PATRICK R WALTER

NPI Number 1679891907
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 05/11/2010
Last updated 10/25/2012 - About 14 years ago
Sole proprietor1 No
Identifiers
  • ND Medicaid: 71138
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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