Healthcare Provider Details

I. General information

NPI: 1124629704
Provider Name (Legal Business Name): ALLISON WALKER ND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/02/2020
Last Update Date: 11/13/2024
Certification Date: 11/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 S COURT ST
CROWN POINT IN
46307-4150
US

IV. Provider business mailing address

5371 W 1050 N
WHEATFIELD IN
46392-7627
US

V. Phone/Fax

Practice location:
  • Phone: 219-669-5586
  • Fax:
Mailing address:
  • Phone: 219-669-5586
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: