Walker Chiropractic Life Center, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

C4256 Issued in ID

Legal business name

WALKER CHIROPRACTIC LIFE CENTER, P.A.

Practice address

10451 W Garverdale CT
Suite 201
Boise, ID 83704-5408

Phone

(208) 322-4114

Fax

(208) 322-4115

NPI assigned

Mar 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jeff Alan Walker, D.C.

Title

President

Phone

(208) 322-4114

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Chad C Willis, D.C.

  • Chiropractor
  • Meridian, ID
  • NPI 1053598599
  NPD (past)
• Nicole Willis, D.C.

  • Chiropractor
  • Meridian, ID
  • NPI 1093992539
  NPD (past)

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1962672071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10451 W GARVERDALE CT",
            "address_2": "SUITE 201",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045408",
            "telephone_number": "208-322-4114",
            "fax_number": "208-322-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10451 W GARVERDALE CT",
            "address_2": "SUITE 201",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045408",
            "telephone_number": "208-322-4114",
            "fax_number": "208-322-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKER CHIROPRACTIC LIFE CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-322-4114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "C4256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Walgreens Pharmacy
• Fatima Walizada
• Shahla Walizada, DO
• Fardin Walizay
• Walker Eyecare Associates PLLC
• Aaron Matthew Walker, CRNA
• Alecia Lydia Walker, CNM
• Ann Marie Walker, LCSW
• Ashley Walker, BS

• Chiropractor in Boise, ID
• Providers in Boise, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.