Christopher A Wilderman in Alton - Chiropractor

Christopher A Wilderman - NPI 1548296510

Christopher A Wilderman is a Chiropractor in Alton, Illinois. Christopher A Wilderman practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Christopher A Wilderman is 1548296510. The last update date is 2016-03-25.

Christopher A Wilderman's current location address is 2416 Bloomer Dr, Alton, Illinois. You can contact this provider via phone number 6184338913 and fax number 6184338915. The mailing address for Christopher A Wilderman is 2416 Bloomer Dr, Alton, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Christopher A Wilderman
Address 2416 Bloomer Dr, Alton, Illinois
Phone Number 6184338913
Fax Number 6184338915
Sole Proprietor Y
Credentials DC

NPI Number Detail

NPI Number 1548296510
Provider Enumeration Date 2006-06-23
Last Updated Date 2016-03-25

Provider Mailing Address Detail

Address 2416 Bloomer Dr
City Alton
State Illinois (IL)
Post Code 620024809
Phone Number 6184338913
Fax Number 6184338915

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 38008175
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4404400 IL UNITED HEALTH CARE
6082010 IL BLUE CROSS BLUE SHEILD
116888 MO BLUE CORSS BLUE SHEILD MO
38008175 IL --
5718545 IL AEATNA HEALTHCARE
325539 IL HEALTHLINK
10481T1 MO BCBS ALLIANCE

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FAQs about Christopher A Wilderman

What is the Christopher A Wilderman's unique identification number?

The Christopher A Wilderman has been assigned the NPI (National Provider Identifier) Number 1548296510 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Christopher A Wilderman's facilities are situated?

The facilities of Christopher A Wilderman are physically located at the following address: 2416 Bloomer Dr, Alton, IL, 620024809.

What is the Christopher A Wilderman's area of specialization and corresponding taxonomy classification?

The Christopher A Wilderman's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1548296510 to Christopher A Wilderman?

The Centers for Medicare & Medicaid Services originally issued the 1548296510 to Christopher A Wilderman on 2006-06-23.

When was the Christopher A Wilderman's information last updated?

The Christopher A Wilderman's information was last updated on 2016-03-25.

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