SearchIndiana183500000X

Jeff Walters

NPI 1255616033 · on the registry since 2011 · sole proprietor

Practice

Address
4718 Main Street
Buck Creek, IN 47924
Phone
(765) 589-8719

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-10-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana