Larry R Walton is a Specialist in Portage, Michigan. Larry R Walton practices all healthcare services and medical treatments related to Specialist. The NPI Number for Larry R Walton is 1063440311. The last update date is 2011-08-11.
Larry R Walton's current location address is 1220 West Milham Ave, Portage, Michigan. You can contact this provider via phone number 2693829900 and fax number 2693820700. The mailing address for Larry R Walton is 1220 West Milham Ave, Portage, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Larry R Walton |
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Address | 1220 West Milham Ave, Portage, Michigan |
Phone Number | 2693829900 |
Fax Number | 2693820700 |
Sole Proprietor | Y |
Credentials | -- |
NPI Number Detail
NPI Number | 1063440311 |
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Provider Enumeration Date | 2006-06-28 |
Last Updated Date | 2011-08-11 |
Provider Mailing Address Detail
Address | 1220 West Milham Ave |
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City | Portage |
State | Michigan (MI) |
Post Code | 490241206 |
Phone Number | 2693829900 |
Fax Number | 2693820700 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | 39773 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
39279 | MI | BCBS PROVIDER ID | |
4079644 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Larry R Walton by the Centers for Medicare & Medicaid Services?
The Larry R Walton has been assigned the NPI (National Provider Identifier) 1063440311. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Larry R Walton's facilities are situated?
The facilities of Larry R Walton are physically located at the following address: 1220 West Milham Ave, Portage, MI, 490241206.
What is Larry R Walton's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Larry R Walton is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1063440311 to Larry R Walton?
The Centers for Medicare & Medicaid Services assigned the 1063440311 to Larry R Walton on 2006-06-28.
When was the information related to Larry R Walton most recently updated or refreshed?
The details pertaining to the Larry R Walton, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-08-11.