Provider Demographics
NPI:1851120240
Name:WALKER, JULIAN EVERETT
Entity type:Individual
Prefix:
First Name:JULIAN
Middle Name:EVERETT
Last Name:WALKER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:597 GENESEE AVE NE
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44483-5501
Mailing Address - Country:US
Mailing Address - Phone:740-819-2983
Mailing Address - Fax:740-278-8267
Practice Address - Street 1:597 GENESEE AVE NE
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44483-5501
Practice Address - Country:US
Practice Address - Phone:740-819-2983
Practice Address - Fax:740-278-8267
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-01
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator