National Provider Identifier Database

WALKER SPINE AND SPORTS SPECIALISTS
Neuromusculoskeletal Medicine, Sports Medicine

A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation.


Contact Information

WALKER SPINE AND SPORTS SPECIALISTS
2319 CORONADO ST
IDAHO FALLS, ID83404-7407
Phone: 208-227-1200
Fax: 208-227-1212
Website:
Specialty Taxonomy Code
* Neuromusculoskeletal Medicine, Sports Medicine 204C00000X

* Indicates primary specialty

NPI Profile & details for WALKER SPINE AND SPORTS SPECIALISTS

NPI Number 1790872109
Legal business name
LBN
WALKER SPINE AND SPORTS SPECIALISTS
Authorized official GARY WALKER - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/06/2006
Last updated 03/10/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • ID License #: E65389
  • ID Medicaid: 806811100
  • ID Other: 8H989 BLUE CROSS
  • ID Other: DA4495 RAILROAD MEDICARE
  • ID Other: 000010140195 REGENCE BLUE SHIELD
  • ID Other: 204221200 US DEPT OF LABOR

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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