Walker, Diane M
Walker, Diane M is an sole proprietor health care provider with primary practice located at 1940 Harrison Ave , Panama City FL 32405-4542. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Walker, Diane M can be contacted via phone (850) 763-0017.Contact Information
Primary practice address
1940 Harrison Ave
Panama City FL 32405-4542
Phone: (850) 763-0017
Fax: (850) 532-6454
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | ME133042 | Florida |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 12756 | Mississippi |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ME133042 | Florida |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 12756 | Mississippi |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | ME133042 | Florida |
Profile Details
| NPI number | 1558305292 |
|---|---|
| LBN Legal business name | Walker, Diane M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Jul 21st, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558305292 | NPPES |
| Alabama | MEDICAID | 009967605 | |
| Alabama | Other | 260042735 | |
| Alabama | MEDICAID | 00121680 |
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