Individual
DR. WALTER NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.,P.C.
Contact information
Practice address
285 E 100 S, VERNAL, UT 84078-2636
(435) 789-4483
(435) 789-4488
Mailing address
285 E 100 S, VERNAL, UT 84078-2636
(435) 789-4483
(435) 789-4488
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
149169-1202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107000307101
SELECT CARE
UT
01
—
35281
DMBA
UT
01
—
870496123
CHICAGO LABORERS HEALTH
UT
01
—
870496123 001
CIGNA
UT
01
—
870496123 B96840
BLUE CROSS BLU SHIELD UT
UT
01
—
UT9999
MUTUAL OF OMAHA
UT
Enumeration date
12/12/2006
Last updated
06/12/2013
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