Provider Demographics
NPI:1134150170
Name:NEPHROLOGY CONSULTANTS INC.
Entity type:Organization
Organization Name:NEPHROLOGY CONSULTANTS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:L
Authorized Official - Last Name:WALSH
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:901-753-6474
Mailing Address - Street 1:301 GERMANTOWN BEND CV
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38018-4243
Mailing Address - Country:US
Mailing Address - Phone:901-753-6474
Mailing Address - Fax:901-753-5923
Practice Address - Street 1:301 GERMANTOWN BEND CV
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-4243
Practice Address - Country:US
Practice Address - Phone:901-753-6474
Practice Address - Fax:901-753-5923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009411500Medicaid
TX076826901Medicaid
OH2062762Medicaid
IN200218560Medicaid
TX076826901Medicaid