Walden, Thomas E
Walden, Thomas E is an individual health care provider with primary practice located at 204 N College St , Mountain Home AR 72653-3654. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Walden, Thomas E can be contacted via phone (870) 424-4804.Contact Information
Primary practice address
204 N College St
Mountain Home AR 72653-3654
Phone: (870) 424-4804
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | E5090 | Arkansas |
Profile Details
NPI number | 1508897307 |
---|---|
LBN Legal business name | Walden, Thomas E |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 6th, 2006 |
Last updated | Nov 23rd, 2009 - about 15 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 | 1508897307 | NPPES |
Arkansas | MEDICAID | 164551001 |
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