Provider Demographics
NPI:1669872313
Name:WALKER, ERIC HENRY (DC)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:HENRY
Last Name:WALKER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2230 N UNIVERSITY PKWY STE 6B
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84604-1584
Mailing Address - Country:US
Mailing Address - Phone:801-235-9944
Mailing Address - Fax:801-235-9955
Practice Address - Street 1:2230 N UNIVERSITY PKWY STE 6B
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84604-1584
Practice Address - Country:US
Practice Address - Phone:801-235-9944
Practice Address - Fax:801-235-9955
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-31
Last Update Date:2014-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6565294-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor