Walton, Vickie A
Walton, Vickie A is an sole proprietor health care provider with primary practice located at 1313 E Herndon Ave Ste 205, Fresno CA 93720-3306. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Walton, Vickie A can be contacted via phone (559) 435-0311.Contact Information
Primary practice address
1313 E Herndon Ave Ste 205
Fresno CA 93720-3306
Phone: (559) 435-0311
Fax: (559) 435-1708
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | G58237 | California |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | G58237 | California |
Profile Details
| NPI number | 1366447658 |
|---|---|
| LBN Legal business name | Walton, Vickie A |
| Credentials | MD INC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2005 |
| Last updated | Jun 22nd, 2010 - about 14 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 | 1366447658 | NPPES |
| California | MEDICAID | 00G582370 |
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