Walker, Gary Paul

Walker, Gary Paul is an individual health care provider with primary practice located at 568 Falls Ave , Twin Falls ID 83301-3314. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Walker, Gary Paul can be contacted via phone (208) 733-1944.

Contact Information

Primary practice address
568 Falls Ave Twin Falls ID 83301-3314
Fax: (208) 734-4984
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODP-0539 Idaho

Profile Details

NPI number 1033243647
LBN Legal business name Walker, Gary Paul
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated Apr 20th, 2010 - about 14 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 1033243647 NPPES
Idaho MEDICAID 002437600

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