Parham, Fred Walton
Parham, Fred Walton is an sole proprietor health care provider with primary practice located at 1000 Nut Tree Rd , Vacaville CA 95687. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Parham, Fred Walton can be contacted via phone (707) 447-3600.Contact Information
Primary practice address
1000 Nut Tree Rd
Vacaville CA 95687
Phone: (707) 447-3600
Fax: (707) 446-6515
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G43938 | California |
Profile Details
| NPI number | 1558330563 |
|---|---|
| LBN Legal business name | Parham, Fred Walton |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558330563 | NPPES |
| California | MEDICAID | 00G439383 |
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