Walker, Alan Glenn

Walker, Alan Glenn is an individual health care provider with primary practice located at 1221 Pine Grove Ave , Port Huron MI 48060-3511. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Walker, Alan Glenn can be contacted via phone (810) 987-5000.

Contact Information

Primary practice address
1221 Pine Grove Ave Port Huron MI 48060-3511
Phone: (810) 987-5000
Fax: (810) 985-2633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704140416 Michigan

Profile Details

NPI number 1942259015
LBN Legal business name Walker, Alan Glenn
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942259015 NPPES
Massachusetts Other 4704140416 LICENSE NUMBER

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