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
Fax: (509) 783-7576
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982793972 NPPES
Washington Other CS10000319 CONSCIOUS SEDATION
Washington MEDICAID 5036546 CONSCIOUS SEDATION
Washington MEDICAID 5036876 CONSCIOUS SEDATION

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