Provider Demographics
NPI:1457494783
Name:WALCH, ALAN CAROL JR (DC)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:CAROL
Last Name:WALCH
Suffix:JR
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 1:7713 PARKWAY DR
Mailing Address - Street 2:
Mailing Address - City:LEEDS
Mailing Address - State:AL
Mailing Address - Zip Code:35094-2116
Mailing Address - Country:US
Mailing Address - Phone:205-699-4433
Mailing Address - Fax:205-699-4438
Practice Address - Street 1:7713 PARKWAY DR
Practice Address - Street 2:
Practice Address - City:LEEDS
Practice Address - State:AL
Practice Address - Zip Code:35094-2116
Practice Address - Country:US
Practice Address - Phone:205-699-4433
Practice Address - Fax:205-699-4438
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1366111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51073029OtherBCBS PROVIDER
AL51073029OtherBCBS PROVIDER
ALU12261Medicare UPIN