Walker, Jerry W

Walker, Jerry W is an individual health care provider with primary practice located at 1230 N Duquesne Rd , Joplin MO 64801-1509. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Walker, Jerry W can be contacted via phone (417) 782-1443.

Contact Information

Primary practice address
1230 N Duquesne Rd Joplin MO 64801-1509
Phone: (417) 782-1443
Fax: (417) 782-3240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2000167859 Missouri

Profile Details

NPI number 1699766089
LBN Legal business name Walker, Jerry W
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Sep 10th, 2023 - about last year

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 1699766089 NPPES
Kansas MEDICAID 200671770A
Kansas MEDICAID 200491030A
Kansas MEDICAID 494803802

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