Provider Demographics
NPI:1508839184
Name:ARTKOWSKY, WALTER F (DC)
Entity Type:Individual
Prefix:
First Name:WALTER
Middle Name:F
Last Name:ARTKOWSKY
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 1:401 W GREENE ST
Mailing Address - Street 2:
Mailing Address - City:CARMICHAELS
Mailing Address - State:PA
Mailing Address - Zip Code:15320-1603
Mailing Address - Country:US
Mailing Address - Phone:724-966-5117
Mailing Address - Fax:724-966-7555
Practice Address - Street 1:401 W GREENE ST
Practice Address - Street 2:
Practice Address - City:CARMICHAELS
Practice Address - State:PA
Practice Address - Zip Code:15320-1603
Practice Address - Country:US
Practice Address - Phone:724-966-5117
Practice Address - Fax:724-966-7555
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-13
Last Update Date:2016-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC001871-L111N00000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA38155OtherHEALTH AMERICA
PA202008OtherUPMC HEALTH PLAN
PA000724655Medicaid
PA63280OtherUNISON HEALTH PLAN
PA1041631OtherGATEWAY
PA263064OtherHIGHMARK BC/BS
PAT72798Medicare UPIN
PA38155OtherHEALTH AMERICA