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Contact Information

SEAN T WALKER, MD
4021 AVENUE B
SCOTTSBLUFF, NE69361-4602
 Phone: 303-761-9190
 Fax: 720-874-4462
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for SEAN T WALKER · (Male)

NPI # 1568758878
Status Active
Credentials MD
Entity Individual
Enumeration date 06/24/2011
Last updated 03/31/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • CO License # 57947
  • KS License # 04-39693
  • NE License # 27792
  • CO Medicaid 1568758878
  • CO Other 561591YQ33 MEDICARE PIN
  • CO Other 561591YQ3L MEDICARE PIN
  • CO Other 561591YQN9 MEDICARE PIN
  • CO Other 561591YQPG MEDICARE PIN
  • CO Other 561591ZLJ3 MEDICARE PIN
  • KS Other 111257098 MEDICARE PIN
  • KS Other KA3249089 MEDICARE PIN
  • NE Other NA1214114 MEDICARE PIN
  • NE Other NA1215112 MEDICARE PIN
  • NE Other NA2517093 MEDICARE PIN
Hospital affiliation(s)
  • BOX BUTTE GENERAL HOSPITAL - (Critical Access)
    P O BOX 810, 2101 BOX BUTTE AVE
    ALLIANCE, NE 69301
  • CHADRON COMMUNITY HOSPITAL AND HEALTH SERVICES - (Critical Access)
    825 CENTENNIAL DRIVE
    CHADRON, NE 69337
  • REGIONAL WEST MEDICAL CENTER - (Acute Care)
    4021 AVE B
    SCOTTSBLUFF, NE 69361
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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