Parks, Robert Edward Albert

Parks, Robert Edward Albert is an individual health care provider with primary practice located at 401 W Poplar St , Walla Walla WA 99362-2846. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Parks, Robert Edward Albert can be contacted via phone (509) 525-3320.

Contact Information

Primary practice address
401 W Poplar St Walla Walla WA 99362-2846
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 11004 Nevada
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD60267048 Washington

Profile Details

NPI number 1770581332
LBN Legal business name Parks, Robert Edward Albert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Jun 18th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770581332 NPPES
California MEDICAID 00A867920
California MEDICAID 100503825
California MEDICAID XPY202371

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