Walton, Craig Frederick
Walton, Craig Frederick is an individual health care provider with primary practice located at 424 Geyser Road , Ballston Spa NY 12020. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Walton, Craig Frederick can be contacted via phone (518) 885-1095.Contact Information
Primary practice address
424 Geyser Road
Ballston Spa NY 12020
Phone: (518) 885-1095
Fax: (518) 885-1137
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 032884 | New York |
Profile Details
| NPI number | 1972712396 |
|---|---|
| LBN Legal business name | Walton, Craig Frederick |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972712396 | NPPES |
| New York | MEDICAID | 00527913 |
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