Provider Demographics
NPI:1083632442
Name:WALKER, DANIEL SCOTT (DC)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:SCOTT
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 1:39140 PASEO PADRE PKWY
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-1612
Mailing Address - Country:US
Mailing Address - Phone:510-791-6332
Mailing Address - Fax:510-791-1923
Practice Address - Street 1:39140 PASEO PADRE PKWY
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1612
Practice Address - Country:US
Practice Address - Phone:510-791-6332
Practice Address - Fax:510-791-1923
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25818111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor