Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | WV9123 | WV |
NPI | 1063460434 |
---|---|
Provider Name | William E Walker |
First Address | Huntington, WV 25702-1219 |
Second Address | Huntington, WV 25704 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E41961 | (02) | WV |