Provider Demographics
NPI:1720160344
Name:WALKER CHIROPRACTIC, P.C.
Entity Type:Organization
Organization Name:WALKER CHIROPRACTIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:303-877-3657
Mailing Address - Street 1:19751 E MAINSTREET
Mailing Address - Street 2:271
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-7378
Mailing Address - Country:US
Mailing Address - Phone:720-255-2831
Mailing Address - Fax:720-255-2893
Practice Address - Street 1:19751 E MAINSTREET
Practice Address - Street 2:271
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-7378
Practice Address - Country:US
Practice Address - Phone:720-255-2831
Practice Address - Fax:720-255-2893
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2013-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5186111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO5186OtherCHIROPRACTIC LICENSE