Walker, Jerry D

Walker, Jerry D is an individual health care provider with primary practice located at 30 N 1900 E Room 4A100 Som, Salt Lake City UT 84132. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Walker, Jerry D can be contacted via phone (801) 585-2341.

Contact Information

Primary practice address
30 N 1900 E Room 4A100 Som Salt Lake City UT 84132
Phone: (801) 585-2341
Fax: (801) 587-5874
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 52929081205 Utah

Profile Details

NPI number 1649238866
LBN Legal business name Walker, Jerry D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Dec 16th, 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 1649238866 NPPES
Utah Other 870281028WA1 EMIA
Utah MEDICAID 870281028000 EMIA
Utah Other QM0000067329 EMIA
Utah Other P00100723 EMIA
Utah Other 107017716101 EMIA
Utah Other 72960 EMIA
Utah Other 802507 EMIA
Utah Other 25-00402 EMIA

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