Walsh Chiropractic LTD

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

WALSH CHIROPRACTIC LTD

Practice address

2800 N Center
Maryville, IL 62062

Phone

(618) 288-5044

Fax

(618) 288-9472

NPI assigned

Aug 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Brian Scott Walsh, D.C.NPI 1659388098

Title

Doctor

Phone

(618) 288-5044

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Scott Walsh, D.C.

  • Chiropractor
  • Carlyle, IL
  • NPI 1659388098
  NPD (past) Authorized official
• Keith Lewis Fabrique, MD

  • Occupational Medicine Physician
  • Decatur, IL
  • NPI 1225196710
  NPD (past)
• Kristin Elizabeth Nobbe-Bloemer, D.C.

  • Chiropractor
  • Maryville, IL
  • NPI 1841206935
  NPD (past)

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1659563542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620620550",
            "telephone_number": "618-288-5044",
            "fax_number": "618-288-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N CENTER",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "62062",
            "telephone_number": "618-288-5044",
            "fax_number": "618-288-9472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALSH CHIROPRACTIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "618-288-5044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley N. Wagner, DOT
• Walgreen Co
• Walgreen Co.
• Kathi Wallace, L.C.P.C.
• Barbara A. Walls
• Michael J Walter, MD
• Christopher Robert Wangard, M.D.
• Cori Warren, MOT, OTR/L
• Kelsy Brikay Wasmuth, FNP
• Eric Michael Watson, PA

• Chiropractor in Maryville, IL
• Providers in Maryville, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.