Walton, Charlene

Walton, Charlene is an individual health care provider with primary practice located at 1001 W 10Th St , Indianapolis IN 46202-2859. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Walton, Charlene can be contacted via phone (317) 630-7525.

Contact Information

Primary practice address
1001 W 10Th St Indianapolis IN 46202-2859
Fax: (317) 567-2191
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 01042739A Indiana

Profile Details

NPI number 1972549087
LBN Legal business name Walton, Charlene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated May 14th, 2009 - about 17 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 1972549087 NPPES
Indiana MEDICAID 200136450

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