Walsworth, David M

Walsworth, David M is an individual health care provider with primary practice located at 201 Mcmillan Rd , West Monroe LA 71291-5321. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Walsworth, David M can be contacted via phone (318) 387-6622.

Contact Information

Primary practice address
201 Mcmillan Rd West Monroe LA 71291-5321
Phone: (318) 387-6622
Fax: (318) 387-6030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 013630 Louisiana

Profile Details

NPI number 1396704904
LBN Legal business name Walsworth, David M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Apr 20th, 2008 - about 18 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 1396704904 NPPES
Louisiana MEDICAID 1307360
Louisiana Other 1356446801

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