Ray Christian Van De Walker in Portage - Chiropractor
Ray Christian Van De Walker - NPI 1477515443
Ray Christian Van De Walker is a Chiropractor in Portage, Michigan. Ray Christian Van De Walker practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Ray Christian Van De Walker is 1477515443. The last update date is 2007-07-08.
Ray Christian Van De Walker's current location address is 1112 E Centre Ave, Portage, Michigan. You can contact this provider via phone number 2699783000 and fax number 2699783001. The mailing address for Ray Christian Van De Walker is 1112 E Centre Ave, Portage, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ray Christian Van De Walker |
|---|---|
| Address | 1112 E Centre Ave, Portage, Michigan |
| Phone Number | 2699783000 |
| Fax Number | 2699783001 |
| Sole Proprietor | X |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1477515443 |
|---|---|
| Provider Enumeration Date | 2006-04-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1112 E Centre Ave |
|---|---|
| City | Portage |
| State | Michigan (MI) |
| Post Code | 490025575 |
| Phone Number | 2699783000 |
| Fax Number | 2699783001 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2301008479 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 950C95062 | MI | BLUE CROSS |
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What is the unique 10-digit identifier code issued to Ray Christian Van De Walker by the Centers for Medicare & Medicaid Services?
The Ray Christian Van De Walker has been assigned the NPI (National Provider Identifier) 1477515443 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Ray Christian Van De Walker?
The Ray Christian Van De Walker is physically situated at 1112 E Centre Ave, in the city of Portage, state of MI, with the postal code 490025575.
What is Ray Christian Van De Walker's area of expertise and its corresponding taxonomy classification?
The Ray Christian Van De Walker's field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1477515443 to Ray Christian Van De Walker?
The Centers for Medicare & Medicaid Services originally issued the 1477515443 to Ray Christian Van De Walker on 2006-04-05.
As of what date were the details pertaining to Ray Christian Van De Walker last refreshed?
The information related to the Ray Christian Van De Walker, including its address, specialty, and other relevant details, was last updated on 2007-07-08.