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
Phone: (901) 348-9600
Fax: (901) 729-7051
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1437122355 | NPPES |
Tennessee | MEDICAID | 3005053 |
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