Walker, Jacquelyn Martin
Walker, Jacquelyn Martin is an sole proprietor health care provider with primary practice located at 831 S El Molino Ave , Pasadena CA 91106-4411. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as her primary health care specialty. Walker, Jacquelyn Martin can be contacted via phone (626) 795-8495.Contact Information
Primary practice address
831 S El Molino Ave
Pasadena CA 91106-4411
Phone: (626) 795-8495
Fax: (626) 449-6440
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | C40096 | California |
Profile Details
| NPI number | 1770829301 |
|---|---|
| LBN Legal business name | Walker, Jacquelyn Martin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 1st, 2013 |
| Last updated | Jan 1st, 2013 - about 11 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 | 1770829301 | NPPES |
| California | Other | C40096 | MEDICAL BOARD OF CA |
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