Walker, Stormy B
Walker, Stormy B is an individual health care provider with primary practice located at 3240 Sunset Blvd , West Columbia SC 29169-3428. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Walker, Stormy B can be contacted via phone (803) 359-8855.Contact Information
Primary practice address
3240 Sunset Blvd
West Columbia SC 29169-3428
Phone: (803) 359-8855
Fax: (803) 794-6480
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | 21916 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 21916 | South Carolina |
Profile Details
| NPI number | 1962994160 |
|---|---|
| LBN Legal business name | Walker, Stormy B |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2018 |
| Last updated | Apr 19th, 2023 - about 3 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 | 1962994160 | NPPES |
| South Carolina | MEDICAID | NP5283 |
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