Walton, Timothy P
Walton, Timothy P is an individual health care provider with primary practice located at 5471 Dr Martin Luther King Dr , Saint Louis MO 63112-4265. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is his primary health care specialty. Walton, Timothy P can be contacted via phone (314) 367-5820.Contact Information
Primary practice address
5471 Dr Martin Luther King Dr
Saint Louis MO 63112-4265
Phone: (314) 367-5820
Fax: (314) 623-6326
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Pediatrics | 163WP0200X | RN133867 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 133867 | Missouri |
Profile Details
| NPI number | 1669423976 |
|---|---|
| LBN Legal business name | Walton, Timothy P |
| Credentials | MSN, RN, CPNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Jun 30th, 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 | 1669423976 | NPPES |
| Missouri | MEDICAID | 1669423976 |
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