Provider Demographics
NPI:1700078185
Name:WALKER, STEVEN L (DC)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:L
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 1:7648 HIGHWAY 70 S
Mailing Address - Street 2:SUITE 16
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-1742
Mailing Address - Country:US
Mailing Address - Phone:615-646-4130
Mailing Address - Fax:615-646-4377
Practice Address - Street 1:7648 HIGHWAY 70 S
Practice Address - Street 2:SUITE 16
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37221-1742
Practice Address - Country:US
Practice Address - Phone:615-646-4130
Practice Address - Fax:615-646-4377
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-09
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN597111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNU-05321Medicare UPIN
TN3675568Medicare PIN