Walston, Stephen Louis

Walston, Stephen Louis is an individual health care provider with primary practice located at 3236 78Th Ave Se Ste 200 , Mercer Island WA 98040-3500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Walston, Stephen Louis can be contacted via phone (206) 386-9500.

Contact Information

Primary practice address
3236 78Th Ave Se Ste 200 Mercer Island WA 98040-3500
Fax: (206) 386-9605
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD60423761 Washington

Profile Details

NPI number 1578887519
LBN Legal business name Walston, Stephen Louis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2010
Last updated Nov 11th, 2021 - about 3 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 1578887519 NPPES
Washington MEDICAID 1578887519
Washington MEDICAID 2022131

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