Larry R Walton in Portage - Prosthetic/orthotic Supplier
Larry R Walton - NPI 1063440311
Larry R Walton is a Prosthetic/orthotic Supplier in Portage, Michigan. Larry R Walton practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. 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 |
|---|---|
| Address | 1220 West Milham Ave, Portage, Michigan |
| Phone Number | 2693829900 |
| Fax Number | 2693820700 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1063440311 |
|---|---|
| Provider Enumeration Date | 2006-06-28 |
| Last Updated Date | 2011-08-11 |
Provider Mailing Address Detail
| Address | 1220 West Milham Ave |
|---|---|
| City | Portage |
| State | Michigan (MI) |
| Post Code | 490241206 |
| Phone Number | 2693829900 |
| Fax Number | 2693820700 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
| Licence No | 39773 |
|
Definition: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological f |
|
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 Prosthetic/orthotic Supplier, and the taxonomy code that classifies this field of practice is 335E00000X.
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.