Walker, Larry Dean
Walker, Larry Dean is an individual health care provider with primary practice located at 935 Highland Blvd Suite 2210, Bozeman MT 59715-6998. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Walker, Larry Dean can be contacted via phone (406) 587-3133.Contact Information
Primary practice address
935 Highland Blvd Suite 2210
Bozeman MT 59715-6998
Phone: (406) 587-3133
Fax: (406) 586-9671
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 117 | Montana |
Profile Details
| NPI number | 1366504102 |
|---|---|
| LBN Legal business name | Walker, Larry Dean |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2006 |
| Last updated | Nov 17th, 2010 - about 16 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 | 1366504102 | NPPES |
| Montana | MEDICAID | 1366504102 |
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