Walton, Billy

Walton, Billy is an individual health care provider with primary practice located at 903 Mississippi Dr , Tupelo MS 38804-0928. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Walton, Billy can be contacted via phone (662) 377-4652.

Contact Information

Primary practice address
903 Mississippi Dr Tupelo MS 38804-0928
Fax: (662) 377-4656
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 12216 Mississippi

Profile Details

NPI number 1710944699
LBN Legal business name Walton, Billy
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Apr 9th, 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 1710944699 NPPES
Mississippi MEDICAID 00115083

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