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NPI Code Detail

MEDICARE: DR. BRIAN L WALSH DC

MEDICARE: DR. BRIAN L WALSH DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor04334IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275558207
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIAN L WALSH DC
Provider Business Mailing Address
First Line : 307 W 5TH ST
Second Line :
City : STORM LAKE
State : IA
Zip : 50588-1743
Country : US
Telephone Number : 712-732-4063
Fax Number : 712-732-6383
Provider Business Practice Location Address
First Line : 307 W 5TH ST
Second Line :
City : STORM LAKE
State : IA
Zip : 50588-1743
Country : US
Telephone Number : 712-732-4063
Fax Number : 712-732-6383
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 06/13/2008

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Directions to “ DR. BRIAN L WALSH DC” Practice Location

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