WALKER FREDERICK JANICKE MD
NPI 1366285579
Student in an Organized Health Care Education/Training Program in Greeley, CO

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since June 15, 2024

1600 23RD AVE, GREELEY, CO 80634(785) 332-4798 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 30, 2024, Jun 15, 2024 (2 updates tracked since 2024).

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About Walker Frederick Janicke Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALKER FREDERICK JANICKE MD (NPI 1366285579) is an individual student in an organized health care education/training program in Greeley, Colorado, licensed in Colorado (TL.0010533) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1366285579

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameWALKER FREDERICK JANICKECredential: MD

Location Address1600 23RD AVEGreeley, CO 80634-6070

Mailing Address1600 23rd AveGreeley, CO 80634-6070 · (785) 332-4798

Phone(785) 332-4798

Sole ProprietorYes

Enumeration DateJune 15, 2024

Last NPPES UpdateJuly 30, 20242 updates tracked since enumeration

NPPES CertifiedJuly 30, 2024

✔ NPI 1366285579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in CO · TL.0010533

Definition

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.

1600 23RD AVE, Greeley, CO 80634

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