Walker, Timothy Ellis

Walker, Timothy Ellis is an sole proprietor health care provider with primary practice located at 6116 E Arbor Ave Building 2 Suite 106, Mesa AZ 85206-6107. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Walker, Timothy Ellis can be contacted via phone (480) 926-3353.

Contact Information

Primary practice address
6116 E Arbor Ave Building 2 Suite 106 Mesa AZ 85206-6107
Fax: (480) 926-3362
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 11843 Arizona

Profile Details

NPI number 1114999562
LBN Legal business name Walker, Timothy Ellis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2006
Last updated Dec 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114999562 NPPES
Arizona Other 249864 AHCCS ID

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