NPI 1194167494 · live from the CMS NPI Registry
Walter James Black, DC
Chiropractor in Gardnerville, NV. National Provider Identifier 1194167494, active.
NPI record
| NPI | 1194167494 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 1524 Us Highway 395 N Ste 8, Gardnerville, NV 89410 |
| Practice phone | 775-782-8816 |
| Enumerated | July 27, 2013 |
| Last updated | July 27, 2013 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | B00356 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.