1720172513 NPI number — RONALD LYNN WALKER D.D.S.

Table of content: RONALD LYNN WALKER D.D.S. (NPI 1720172513)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720172513 NPI number — RONALD LYNN WALKER D.D.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WALKER
Provider First Name:
RONALD
Provider Middle Name:
LYNN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
D.D.S.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1720172513
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6138 CREEK RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WASHINGTON C.H.
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43160
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
740-733-5413
Provider Business Mailing Address Fax Number:
740-636-9696

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
VAMC 17273 ST RT 104
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHILLICOTHEE
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45601
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-773-1141
Provider Business Practice Location Address Fax Number:
740-772-7104
Provider Enumeration Date:
10/03/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  30.014504 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)