Walker, Michael Stephen

Walker, Michael Stephen is an sole proprietor health care provider with primary practice located at 415 Fairview Ave Ste 100 , Ponca City OK 74601-1923. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Walker, Michael Stephen can be contacted via phone (580) 765-5569.

Contact Information

Primary practice address
415 Fairview Ave Ste 100 Ponca City OK 74601-1923
Fax: (580) 765-2020
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 17720 Oklahoma

Profile Details

NPI number 1073667390
LBN Legal business name Walker, Michael Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2007
Last updated Jul 10th, 2024 - about 4 months 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 1073667390 NPPES
Oklahoma MEDICAID 100142420A

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