Walton, Betty Derrellene

Walton, Betty Derrellene is an individual health care provider with primary practice located at 3800 Janes Rd , Arcata CA 95521-4742. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Walton, Betty Derrellene can be contacted via phone (925) 225-5837.

Contact Information

Primary practice address
3800 Janes Rd Arcata CA 95521-4742
Phone: (925) 225-5837
Fax: (925) 225-5838
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G23506 California
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G23506 California

Profile Details

NPI number 1386691715
LBN Legal business name Walton, Betty Derrellene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Apr 10th, 2019 - about 5 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 1386691715 NPPES
California MEDICAID 00G235060

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