Walters, Blake

Walters, Blake is an individual health care provider with primary practice located at 701 Ash St , Baraboo WI 53913-2139. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Walters, Blake can be contacted via phone (608) 844-2116.

Contact Information

Primary practice address
701 Ash St Baraboo WI 53913-2139
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 5284-12 Wisconsin

Profile Details

NPI number 1417479270
LBN Legal business name Walters, Blake
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2017
Last updated Jul 13th, 2017 - about 9 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.

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