MEDICARE: WALKER TRANSPORTATION

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
1	347C00000X	Private Vehicle

General Provider Information

NPI Number	:	1487916417
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WALKER TRANSPORTATION

Provider Business Mailing Address
First Line	:	3534 PIXLEY CT
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46235-2228
Country	:	US
Telephone Number	:	317-989-5600
Fax Number	:

Provider Business Practice Location Address
First Line	:	3534 PIXLEY CT
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46235-2228
Country	:	US
Telephone Number	:	317-989-5600
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ANDREA RENEE WALKER
Credential	:
Telephone Number	:	317-989-5600

Provider Enumeration Date	:	06/14/2012
Last Update Date	:	06/14/2012

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Directions to “WALKER TRANSPORTATION ” Practice Location

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