Provider Demographics
NPI:1487607081
Name:VOLLMER, WALTER STEVEN (DC)
Entity type:Individual
Prefix:DR
First Name:WALTER
Middle Name:STEVEN
Last Name:VOLLMER
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 1:2845 SUMMER OAKS DR
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38134-3812
Mailing Address - Country:US
Mailing Address - Phone:901-377-2340
Mailing Address - Fax:901-373-4570
Practice Address - Street 1:2845 SUMMER OAKS DR
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38134-3812
Practice Address - Country:US
Practice Address - Phone:901-377-2340
Practice Address - Fax:901-373-4570
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2011-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC0000000557111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3088267OtherBCBS ID
TN3675478Medicare ID - Type Unspecified
TN3088267OtherBCBS ID