Erich Werner Walter, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301004603 Issued in MI

Practice address

15700 Michigan Avenue
Dearborn, MI 48126-2903

Phone

(313) 582-4334

NPI assigned

Oct 28, 2006

Last updated

Aug 11, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281484800000",
    "number": "1063598431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15700 MICHIGAN AVENUE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262903",
            "telephone_number": "313-582-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15700 MICHIGAN AVENUE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262903",
            "telephone_number": "313-582-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "ERICH",
        "middle_name": "WERNER",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-28",
        "last_updated": "2010-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1837386",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "95OH25106",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11291535",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Dianna Walls
• Kinyatta Walls
• Manisha Walls
• Angela Walsh, OTR
• Paige L Walsh
• Randall R. Walter, M.D.
• Mary Jo Ann Walters, LPC
• Sahaj Wanchu, DO
• Cindy Wang, O.D.
• Brooke Wanshon, MS, RN, CPNP-PC

• Chiropractor in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.