Walton, Carol A
Walton, Carol A is an individual health care provider with primary practice located at 865 Lincoln Rd Ste 200, Bettendorf IA 52722-4159. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Walton, Carol A can be contacted via phone (563) 344-8600.Contact Information
Primary practice address
865 Lincoln Rd Ste 200
Bettendorf IA 52722-4159
Phone: (563) 344-8600
Fax: (563) 344-2967
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 21706 | Iowa |
Profile Details
| NPI number | 1982600797 |
|---|---|
| LBN Legal business name | Walton, Carol A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1982600797 | NPPES |
| Other | 29879 | WELLMARK HEALTH PLAN | |
| Other | 034787 | WELLMARK HEALTH PLAN | |
| Other | 19787 | WELLMARK HEALTH PLAN | |
| MEDICAID | 5183343 | WELLMARK HEALTH PLAN | |
| Other | IA0160 | WELLMARK HEALTH PLAN |
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