Walton, Ian Jacob
Walton, Ian Jacob is an individual health care provider with primary practice located at 1932 Niles Cortland Rd Ne Ste C , Warren OH 44484-1055. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Walton, Ian Jacob can be contacted via phone (330) 306-0395.Contact Information
Primary practice address
1932 Niles Cortland Rd Ne Ste C
Warren OH 44484-1055
Phone: (330) 306-0395
Fax: (330) 856-5887
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 34011934 | Ohio |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 34011934 | Ohio |
Profile Details
NPI number | 1598077844 |
---|---|
LBN Legal business name | Walton, Ian Jacob |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 1st, 2010 |
Last updated | Jan 16th, 2021 - about 4 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 | 1598077844 | NPPES |
Ohio | MEDICAID | 0180617 |
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