Provider Demographics
NPI:1942804745
Name:WALKER, JAMES ANDERSON
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:ANDERSON
Last Name:WALKER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 WALKERS WAY
Mailing Address - Street 2:
Mailing Address - City:FRAMETOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26623-6454
Mailing Address - Country:US
Mailing Address - Phone:304-364-8708
Mailing Address - Fax:304-364-4626
Practice Address - Street 1:101 WALKERS WAY
Practice Address - Street 2:
Practice Address - City:FRAMETOWN
Practice Address - State:WV
Practice Address - Zip Code:26623-6454
Practice Address - Country:US
Practice Address - Phone:304-364-4626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-23
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant