Walker, Grace Lee
Walker, Grace Lee is an sole proprietor health care provider with primary practice located at 476 Buckeye St , Terre Haute IN 47804-4079. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Walker, Grace Lee can be contacted via phone (812) 232-2683.Contact Information
Primary practice address
476 Buckeye St
Terre Haute IN 47804-4079
Phone: (812) 232-2683
Fax: (812) 877-4620
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01031945 | Indiana |
Profile Details
| NPI number | 1134123607 |
|---|---|
| LBN Legal business name | Walker, Grace Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 11th, 2005 |
| Last updated | Jan 22nd, 2015 - about 9 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 | 1134123607 | NPPES |
| Indiana | Other | 01031945 | PHYSICIAN LICENSE |
| Indiana | MEDICAID | 100251460 | PHYSICIAN LICENSE |
| Indiana | Other | 1134123607 | PHYSICIAN LICENSE |
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