Robert Andrew Walker, DC
Individual provider Active NPI Internist Chiropractor · Fredericktown, OH
NPI 1962423558 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1962423558
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internist Chiropractor 111NI0900X
- License
- 3676 (OH)
- Practice address
- 168 Salem Ave
Fredericktown, OH 43019-1024 - Phone
- (740) 694-2086
- Fax
- (740) 694-4175
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2005
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
168 Salem Ave
Fredericktown, OH 43019-1024
Phone (740) 694-2086
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060927000141 | OH | Practitioner - Chiropractic | 6507861440 | Practice locations: Fredericktown, OH |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3676 | OH | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internist Chiropractor | 111NI0900X | 3676 | OH | Yes |
Addresses
Primary practice location
168 Salem Ave
Fredericktown, OH 43019-1024
Mailing address
168 Salem Ave
Fredericktown, OH 43019-1024
Phone (740) 694-2086
Other providers in Fredericktown, OH
- Todd Brandon Stephens
- Craig Mason Stump
- Elyse Delane Swihart
- Hayley Michelle Testa
- Tina Ann Theaker
- Nichola Delana Walsh
- Jennifer Nicole Wilson
- Tasha Zornes
All providers in Fredericktown, OH · Internist Chiropractor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.