Individual
DR. GEOFFREY JACOB WALBURN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
401 E 2ND ST, MADISON, IN 47250-3513
(812) 273-4325
(812) 273-9275
Mailing address
401 E 2ND ST, MADISON, IN 47250-3513
(812) 273-4325
(812) 273-9275
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001724A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000321777
ANTHEM BLUE CROSS/SHIELD
—
01
—
041352
SIHO
—
01
—
5840636
AETNA INSURANCE COMPANY
—
01
—
P00094455
RAILROAD MEDICARE
—
Enumeration date
07/28/2005
Last updated
07/09/2007
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