Walker, Ronald Raymond

Walker, Ronald Raymond is an sole proprietor health care provider with primary practice located at 16250 Main Street Suite A, Lower Lake CA 95457-0713. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Walker, Ronald Raymond can be contacted via phone (707) 995-3011.

Contact Information

Primary practice address
16250 Main Street Suite A Lower Lake CA 95457-0713
Phone: (707) 995-3011
Fax: (707) 995-3019
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X G51470 California

Profile Details

NPI number 1134226590
LBN Legal business name Walker, Ronald Raymond
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Jul 9th, 2007 - about 17 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 1134226590 NPPES
California Other 00G514700 BLUE SHIELD NUMBER
California MEDICAID 00G514700 BLUE SHIELD NUMBER

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