Walker, Chantal L
Walker, Chantal L is an individual health care provider with primary practice located at 1225 E Coolspring Ave Ste 1C , Michigan City IN 46360-6312. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Walker, Chantal L can be contacted via phone (219) 861-5719.Contact Information
Primary practice address
1225 E Coolspring Ave Ste 1C
Michigan City IN 46360-6312
Phone: (219) 861-5719
Fax: (219) 861-5774
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01052190A | Indiana |
Profile Details
| NPI number | 1508979725 |
|---|---|
| LBN Legal business name | Walker, Chantal L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2006 |
| Last updated | Dec 4th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508979725 | NPPES |
| Indiana | MEDICAID | 200280630 | |
| Indiana | Other | 000000198778 |
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