Shim, Walton
Shim, Walton is an sole proprietor health care provider with primary practice located at 1319 Punahou St Ste 1000 , Honolulu HI 96826-1077. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Shim, Walton can be contacted via phone (808) 947-2611.Contact Information
Primary practice address
1319 Punahou St Ste 1000
Honolulu HI 96826-1077
Phone: (808) 947-2611
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | 947 | Hawaii |
Profile Details
| NPI number | 1386793255 |
|---|---|
| LBN Legal business name | Shim, Walton |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Oct 24th, 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 | 1386793255 | NPPES |
| Hawaii | MEDICAID | 02753201 |
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