# DR. WALTER R. MAIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1780690289
- **Gender:** Man
- **Credential:** D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN0400X | Neurology Chiropractor | 4068 | SC | Yes |

## Other

- **Enumeration date:** 08/01/2006
- **Last updated:** 10/07/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 048240 | HEALTH ALLIANCE | IL |
| 01 | — | 5722676 | BLUE CROSS/BLUE SHIELD IN | IL |
| 01 | — | 7862458 | AETNA INSURANCE | IL |