Dr Mary a Walters
Organization Active NPI Clinic/Center · Forty Fort, PA
NPI 1124296314 · NPPES record last updated Feb 11, 2008
Key facts
- NPI
- 1124296314
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- DR MARY A WALTERS
- Practice address
- 1174 Wyoming Ave
Forty Fort, PA 18704-4016 - Phone
- (570) 288-9444
- Fax
- (570) 331-7543
- NPI assigned
- Feb 11, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Mary A Walters, DC
- Title
- Owner
- Phone
- (570) 288-9444
Practitioners 1
-
Mary A Walters, DC
National Provider Directory
Locations
1174 Wyoming Ave
Kingston, PA 18704
Phone (570) 288-4444
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
1174 Wyoming Ave
Forty Fort, PA 18704-4016
Mailing address
1174 Wyoming Ave
Forty Fort, PA 18704-4016
Phone (570) 288-9444
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 072962 | Other | PA | FIRST PRIORITY HEALTH |
| 1659387678 | Other | PA | INDV NPI TYPE 1 |
| WA181952 | Other | PA | MEDICARE |
| 181952 | Other | PA | BLUE CROSS BLUE SHIELD |
Other names
- WALTERS FAMILY CHIROPRACTIC CENTER
Other providers in Forty Fort, PA
- Ravi Desai
- Gina Devenuto
- Diagnostic Breast Center, Inc.
- Desiree Dixon-Clark
- Duncan X Dobbins
- Tessa Carmela Eberle
- Elizabeth a. Gernhardt Inc.
- Elaine Everding
- Nathan Joseph Finn
- Chelsee Firestone
All providers in Forty Fort, PA · Clinic/Center in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.