Walsworth, David Todd
Walsworth, David Todd is an individual health care provider with primary practice located at 804 Service Rd Ste A225 , East Lansing MI 48824-7015. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Walsworth, David Todd can be contacted via phone (517) 353-2562.Contact Information
Primary practice address
804 Service Rd Ste A225
East Lansing MI 48824-7015
Phone: (517) 353-2562
Fax: (517) 353-2563
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301062319 | Michigan |
Profile Details
| NPI number | 1346276144 |
|---|---|
| LBN Legal business name | Walsworth, David Todd |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | Jun 29th, 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 | 1346276144 | NPPES |
| Michigan | MEDICAID | 4720304 | |
| Michigan | MEDICAID | 1346276144 |
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