Basic Information
Provider Information
NPI: 1457559759
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TRAIN
FirstName: WILLIAM
MiddleName: WALKER
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 555 NORTH DUKE STREET
Address2:  
City: LANCASTER
State: PA
PostalCode: 176022250
CountryCode: US
TelephoneNumber: 7175445945
FaxNumber: 7175445944
Practice Location
Address1: 555 NORTH DUKE STREET
Address2:  
City: LANCASTER
State: PA
PostalCode: 176022250
CountryCode: US
TelephoneNumber: 7175445945
FaxNumber: 7175445944
Other Information
ProviderEnumerationDate: 07/07/2007
LastUpdateDate: 09/10/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/10/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2086S0102XMD473154PAY Allopathic & Osteopathic PhysiciansSurgerySurgical Critical Care

No ID Information.


Home