Walker, Gordon R.

Walker, Gordon R. is an individual health care provider with primary practice located at 804 Moorefield Park Dr Suite 201, North Chesterfield VA 23236-3670. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Walker, Gordon R. can be contacted via phone (804) 560-4640.

Contact Information

Primary practice address
804 Moorefield Park Dr Suite 201 North Chesterfield VA 23236-3670
Phone: (804) 560-4640
Fax: (804) 560-4813
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810002339 Virginia

Profile Details

NPI number 1568547081
LBN Legal business name Walker, Gordon R.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated May 21st, 2015 - about 11 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 1568547081 NPPES
Virginia Other P00159187 RAILROAD MEDICARE
Virginia Other 085796 RAILROAD MEDICARE
Virginia MEDICAID 007730624 RAILROAD MEDICARE
Virginia Other 090961 RAILROAD MEDICARE
Virginia Other 090944 RAILROAD MEDICARE

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