Walton, Rebecca Mae
Walton, Rebecca Mae is an individual health care provider with primary practice located at 8010 Oak Park Rd Ne , New Salisbury IN 47161-8401. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Walton, Rebecca Mae can be contacted via phone (812) 366-3147.Contact Information
Primary practice address
8010 Oak Park Rd Ne
New Salisbury IN 47161-8401
Phone: (812) 366-3147
Fax: (812) 366-3151
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 18002068B | Indiana |
Profile Details
| NPI number | 1548260409 |
|---|---|
| LBN Legal business name | Walton, Rebecca Mae |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2005 |
| Last updated | Jan 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548260409 | NPPES |
| Indiana | Other | 410046068 | RAILROAD MEDICARE |
| Indiana | MEDICAID | 100128170A | RAILROAD MEDICARE |
| Indiana | Other | 000000092237 | RAILROAD MEDICARE |
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