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
Fax: (817) 332-1473
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861461485 NPPES
Texas MEDICAID 001062101

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