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:
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Health care specialties

SpecialtyCodeLicense #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 15 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 1366504102 NPPES
Montana MEDICAID 1366504102

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