Provider Demographics
NPI:1033365945
Name:WALKER, SCOTT PATRICK (DC)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:PATRICK
Last Name:WALKER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:567 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:ROYERSFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19468-2011
Mailing Address - Country:US
Mailing Address - Phone:609-634-6135
Mailing Address - Fax:484-924-8887
Practice Address - Street 1:567 CHURCH ST
Practice Address - Street 2:
Practice Address - City:ROYERSFORD
Practice Address - State:PA
Practice Address - Zip Code:19468-2011
Practice Address - Country:US
Practice Address - Phone:609-634-6135
Practice Address - Fax:484-924-8887
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-12
Last Update Date:2008-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-007312-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor