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CHAD WALTERSDO LLC NPI 1154684785


NPI Information

NPI: 1154684785
Provider Name: CHAD WALTERS,DO, LLC

Doing Business As: NEURO REHAB SPECIALISTS

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 18D2045746

Address:
4400 BRECKENRIDGE LN
STE 124
LOUISVILLE, KY
ZIP 40218
Phone: (502) 491-9590
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CHAD WALTERS,DO, LLC is a specialist in Louisville, KY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CHAD WALTERS,DO, LLC NPI is 1154684785. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Neuro Rehab Specialists.

The provider's business location address is:

4400 BRECKENRIDGE LN
STE 124
LOUISVILLE, KY
ZIP 40218-135
Phone: (502) 491-9590
Fax: (502) 491-9592

The provider's authorized official is Liz Zirnheld .
The authorized official title is Office Manager and has the following contact phone number (502) 491-9590.

The CLIA number assigned to this NPI record is 18D2045746 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/19/2012 and was last updated on 11/14/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist03009KENTUCKYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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