Walker, Larry M

Walker, Larry M is an sole proprietor health care provider with primary practice located at 4250 Faronia Rd Ste 4, Memphis TN 38116-6527. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Walker, Larry M can be contacted via phone (901) 348-9600.

Contact Information

Primary practice address
4250 Faronia Rd Ste 4 Memphis TN 38116-6527
Fax: (901) 729-7051
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 15172 Tennessee

Profile Details

NPI number 1437122355
LBN Legal business name Walker, Larry M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2006
Last updated Jan 4th, 2011 - about 13 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 1437122355 NPPES
Tennessee MEDICAID 3005053

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