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NPI Code Detail

MEDICARE: WALTER LAWRENCE CHMELEWSKI M.D.

MEDICARE: WALTER LAWRENCE CHMELEWSKI M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist31789NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10256MOTHERNCMEDICARE GROUP NUMBER

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275503807
Entity Type Code : Individual
Provider Name (Legal Business Name) : WALTER LAWRENCE CHMELEWSKI M.D.
Provider Business Mailing Address
First Line : 3101 JOHN HUMPHRIES WYND
Second Line :
City : RALEIGH
State : NC
Zip : 27612-5302
Country : US
Telephone Number : 919-881-8272
Fax Number : 919-881-2026
Provider Business Practice Location Address
First Line : 3101 JOHN HUMPHRIES WYND
Second Line :
City : RALEIGH
State : NC
Zip : 27612-5302
Country : US
Telephone Number : 919-881-8272
Fax Number : 919-881-2026
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2006
Last Update Date : 06/21/2012

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