Walker, Timothy James

Walker, Timothy James is an individual health care provider with primary practice located at 4102 Pinion Dr , Usaf Academy CO 80840-2502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Walker, Timothy James can be contacted via phone (719) 333-5962.

Contact Information

Primary practice address
4102 Pinion Dr Usaf Academy CO 80840-2502
Phone: (719) 333-5962
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M5113 Idaho
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00024276 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 46667 Colorado

Profile Details

NPI number 1124119730
LBN Legal business name Walker, Timothy James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Jun 2nd, 2009 - about 16 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 1124119730 NPPES
Idaho Other 000010000368 REGENCE BLUE SHIELD
Idaho Other DF615 REGENCE BLUE SHIELD
Idaho Other 002386500 REGENCE BLUE SHIELD
Idaho Other 1118875 REGENCE BLUE SHIELD
Idaho MEDICAID 002386500 REGENCE BLUE SHIELD
Idaho Other 31251 REGENCE BLUE SHIELD
Idaho Other 8915081 REGENCE BLUE SHIELD
Idaho MEDICAID 1014521 REGENCE BLUE SHIELD

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