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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 15 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 1366447658 NPPES
California MEDICAID 00G582370

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