MEDICARE: HAROLD ARTHUR WALKER JR. DC, CCSP

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	111NS0005X	Sports Physician Chiropractor	DC 14523	CA

General Provider Information

NPI Number	:	1972671568
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAROLD ARTHUR WALKER JR. DC, CCSP

Provider Business Mailing Address
First Line	:	4441 AUBURN BLVD
Second Line	:	SUITE O
City	:	SACRAMENTO
State	:	CA
Zip	:	95841-4139
Country	:	US
Telephone Number	:	916-484-1661
Fax Number	:	916-484-2011

Provider Business Practice Location Address
First Line	:	4441 AUBURN BLVD
Second Line	:	SUITE O
City	:	SACRAMENTO
State	:	CA
Zip	:	95841-4139
Country	:	US
Telephone Number	:	916-484-1661
Fax Number	:	916-484-2011

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2006
Last Update Date	:	07/08/2007

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