Walker, Jody Allen

Walker, Jody Allen is an sole proprietor health care provider with primary practice located at 3001 S Columbia Rd Ste C , Grand Forks ND 58201-6064. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Walker, Jody Allen can be contacted via phone (701) 795-8818.

Contact Information

Primary practice address
3001 S Columbia Rd Ste C Grand Forks ND 58201-6064
Fax: (701) 795-4888
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 642 North Dakota

Profile Details

NPI number 1407947567
LBN Legal business name Walker, Jody Allen
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2006
Last updated Jul 8th, 2007 - about 17 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 1407947567 NPPES
North Dakota MEDICAID 10713

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