Walker, Rusty J
Walker, Rusty J is an individual health care provider with primary practice located at 7501 W Deschutes Pl , Kennewick WA 99336-7719. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Walker, Rusty J can be contacted via phone (509) 783-1960.Contact Information
Primary practice address
7501 W Deschutes Pl
Kennewick WA 99336-7719
Phone: (509) 783-1960
Fax: (509) 783-7576
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Pediatric Dentistry | 1223P0221X | DE00008974 | Washington |
Profile Details
NPI number | 1982793972 |
---|---|
LBN Legal business name | Walker, Rusty J |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 11th, 2006 |
Last updated | Mar 7th, 2023 - about last year |
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 | 1982793972 | NPPES |
Washington | Other | CS10000319 | CONSCIOUS SEDATION |
Washington | MEDICAID | 5036546 | CONSCIOUS SEDATION |
Washington | MEDICAID | 5036876 | CONSCIOUS SEDATION |
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