1891040861 NPI number — WALKER CHIROPRACTIC & WELLNESS, P.C.

Table of content: MRS. JULIE T COTREAU PHARMD, PIC, CIP (NPI 1801025838)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891040861 NPI number — WALKER CHIROPRACTIC & WELLNESS, P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WALKER CHIROPRACTIC & WELLNESS, P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1891040861
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/27/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 339
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ALGONA
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
50511-0339
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
605 E STATE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALGONA
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50511-2821
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
515-200-0020
Provider Business Practice Location Address Fax Number:
515-200-0022
Provider Enumeration Date:
07/16/2012

Additional Information

Authorized Official

Authorized Official Last Name:
WALKER
Authorized Official First Name:
JACOB
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
515-341-2621

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  007543 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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