Walker, Jennie

Walker, Jennie is an sole proprietor health care provider with primary practice located at 85 Sierra Park Rd , Mammoth Lakes CA 93546-2073. She recently has 2 registered licenses in different health care specialties including Hospitals / Critical Access, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Walker, Jennie can be contacted via phone (760) 934-3311.

Contact Information

Primary practice address
85 Sierra Park Rd Mammoth Lakes CA 93546-2073
Phone: (760) 934-3311
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X A73644 California
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A73644 California

Profile Details

NPI number 1558371229
LBN Legal business name Walker, Jennie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2006
Last updated Jan 9th, 2021 - about 5 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 1558371229 NPPES
California MEDICAID 1558371229

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