Healthcare Provider Details

I. General information

NPI: 1487916417
Provider Name (Legal Business Name): WALKER TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2012
Last Update Date: 06/14/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3534 PIXLEY CT
INDIANAPOLIS IN
46235-2228
US

IV. Provider business mailing address

3534 PIXLEY CT
INDIANAPOLIS IN
46235-2228
US

V. Phone/Fax

Practice location:
  • Phone: 317-989-5600
  • Fax:
Mailing address:
  • Phone: 317-989-5600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: ANDREA RENEE WALKER
Title or Position: OWNER
Credential:
Phone: 317-989-5600