Bradley R Wilde is a Chiropractor in Worland, . Bradley R Wilde practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Bradley R Wilde is 1194895748. The last update date is 2017-04-10.
Bradley R Wilde's current location address is Po Box 17, Worland, . You can contact this provider via phone number 3074315683. The mailing address for Bradley R Wilde is Po Box 17, Worland, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley R Wilde |
|---|---|
| Address | Po Box 17, Worland, |
| Phone Number | 3074315683 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1194895748 |
|---|---|
| Provider Enumeration Date | 2006-11-09 |
| Last Updated Date | 2017-04-10 |
Provider Mailing Address Detail
| Address | Po Box 17 |
|---|---|
| City | Worland |
| State | (WY) |
| Post Code | 824010017 |
| Phone Number | 3074315683 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 379 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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What is the unique identification code assigned to Bradley R Wilde by the Centers for Medicare & Medicaid Services?
The Bradley R Wilde has been issued the NPI (National Provider Identifier) 1194895748. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Bradley R Wilde is physically located?
The Bradley R Wilde is situated at the following address: Po Box 17, Worland, WY 824010017.
What is Bradley R Wilde's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Bradley R Wilde is Chiropractor, and the taxonomy code that categorizes this field of expertise is 111N00000X.
On what date did Bradley R Wilde receive its 1194895748 assignment from the Centers for Medicare & Medicaid Services?
The Bradley R Wilde was assigned its 1194895748 on 2006-11-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Bradley R Wilde most recently updated or revised?
The details related to Bradley R Wilde, including its address, specialty, and other relevant information, were last updated or revised on 2017-04-10.
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