Walters, Carol Jean

Walters, Carol Jean is an individual health care provider with primary practice located at 1712 James Dr , North Mankato MN 56003-1804. She recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Orthopedic, Chiropractic Providers / Chiropractor. Chiropractic Providers / Chiropractor is her primary health care specialty. Walters, Carol Jean can be contacted via phone (507) 385-2000.

Contact Information

Primary practice address
1712 James Dr North Mankato MN 56003-1804
Phone: (507) 385-2000
Fax: (507) 385-1933
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Orthopedic 111NX0800X 3284 Minnesota
Chiropractic Providers / Chiropractor 111N00000X 3284 Minnesota

Profile Details

NPI number 1477665701
LBN Legal business name Walters, Carol Jean
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jan 30th, 2019 - about 5 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 1477665701 NPPES
Minnesota MEDICAID 406223000

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