Walsworth, David Todd

Walsworth, David Todd is an individual health care provider with primary practice located at 804 Service Rd Ste A225 , East Lansing MI 48824-7015. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Walsworth, David Todd can be contacted via phone (517) 353-2562.

Contact Information

Primary practice address
804 Service Rd Ste A225 East Lansing MI 48824-7015
Phone: (517) 353-2562
Fax: (517) 353-2563
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301062319 Michigan

Profile Details

NPI number 1346276144
LBN Legal business name Walsworth, David Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Jun 29th, 2023 - about 2 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 1346276144 NPPES
Michigan MEDICAID 4720304
Michigan MEDICAID 1346276144

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