Walton, Richard Green
Walton, Richard Green is an sole proprietor health care provider with primary practice located at 1000 Harrington St , Mount Clemens MI 48043-2920. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Pediatric Radiology is his primary health care specialty. Walton, Richard Green can be contacted via phone (586) 493-8706.Contact Information
Primary practice address
1000 Harrington St
Mount Clemens MI 48043-2920
Phone: (586) 493-8706
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 056665 | Georgia |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 056665 | Georgia |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 5101009247 | Michigan |
Profile Details
| NPI number | 1891757522 |
|---|---|
| LBN Legal business name | Walton, Richard Green |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1891757522 | NPPES |
| Michigan | Other | 009247 | MI MEDICAL LICENSE |
| Michigan | Other | 056665 | MI MEDICAL LICENSE |
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