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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558305292 NPPES
Alabama MEDICAID 009967605
Alabama Other 260042735
Alabama MEDICAID 00121680

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