Walker, Randy Dean
Walker, Randy Dean is an sole proprietor health care provider with primary practice located at 1553 W Collin Raye Dr , De Queen AR 71832-3801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Walker, Randy Dean can be contacted via phone (870) 584-3000.Contact Information
Primary practice address
1553 W Collin Raye Dr
De Queen AR 71832-3801
Phone: (870) 584-3000
Fax: (870) 584-3003
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E3032 | Arkansas |
Profile Details
| NPI number | 1730185752 |
|---|---|
| LBN Legal business name | Walker, Randy Dean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Jan 11th, 2010 - about 14 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 | 1730185752 | NPPES |
| Arkansas | MEDICAID | 145640002 | |
| Arkansas | MEDICAID | 145639001 |
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