Walton, Jeremy Paul

Walton, Jeremy Paul is an sole proprietor health care provider with primary practice located at 7808 Pacific Ave Suite 6, Tacoma WA 98408-7039. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Walton, Jeremy Paul can be contacted via phone (253) 474-3770.

Contact Information

Primary practice address
7808 Pacific Ave Suite 6 Tacoma WA 98408-7039
Fax: (253) 472-5004
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH00001283 Washington

Profile Details

NPI number 1750420857
LBN Legal business name Walton, Jeremy Paul
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2007
Last updated Dec 14th, 2011 - about 13 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 1750420857 NPPES
Washington MEDICAID 2034502

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