Individual provider · Type 1 NPI

Carl S. Walker Iii

Student in an Organized Health Care Education/Training Program · Brockton, MA

NPI number 1922356633 Active

Practice location

8 Wilder St
Brockton, MA 02301-1529

Call (508) 944-6115 Map

Fax (508) 584-0988

Mailing address

8 Wilder Street
Brockton, MA 02301-1529

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X1609179258 (MA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1922356633

Carl S. Walker Iii's National Provider Identifier is 1922356633, issued on Aug 28, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brockton, MA. The record was last updated on Aug 28, 2012.