Provider Demographics
NPI:1093783680
Name:WALKER, GAIL GRAHAM (DC)
Entity type:Individual
Prefix:DR
First Name:GAIL
Middle Name:GRAHAM
Last Name:WALKER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:GAIL
Other - Middle Name:IRENE
Other - Last Name:GRAHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:164 CARDINAL RD
Mailing Address - Street 2:
Mailing Address - City:CHALFONT
Mailing Address - State:PA
Mailing Address - Zip Code:18914-3110
Mailing Address - Country:US
Mailing Address - Phone:215-997-8786
Mailing Address - Fax:215-997-0810
Practice Address - Street 1:166 E BUTLER AVE
Practice Address - Street 2:
Practice Address - City:CHALFONT
Practice Address - State:PA
Practice Address - Zip Code:18914-3002
Practice Address - Country:US
Practice Address - Phone:215-997-8786
Practice Address - Fax:215-997-0810
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC005134L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA4601031OtherAETNA