Walker, Jerry Don
Walker, Jerry Don is an sole proprietor health care provider with primary practice located at 105 Boland St , Fort Worth TX 76107-1221. He recently has only one registered license in Chiropractic Providers / Radiology, which is considered as his primary health care specialty. Walker, Jerry Don can be contacted via phone (817) 332-1234.Contact Information
Primary practice address
105 Boland St
Fort Worth TX 76107-1221
Phone: (817) 332-1234
Fax: (817) 332-1473
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Radiology | 111NR0200X | 2534 | Texas |
Profile Details
| NPI number | 1861461485 |
|---|---|
| LBN Legal business name | Walker, Jerry Don |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Apr 5th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861461485 | NPPES |
| Texas | MEDICAID | 001062101 |
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