Jeffery James Wilson in Galesburg - Chiropractor
Jeffery James Wilson - NPI 1205939014
Jeffery James Wilson is a Chiropractor in Galesburg, Illinois. Jeffery James Wilson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jeffery James Wilson is 1205939014. The last update date is 2013-10-01.
Jeffery James Wilson's current location address is 1128 Monroe St, Galesburg, Illinois. You can contact this provider via phone number 3093430028 and fax number 3093430191. The mailing address for Jeffery James Wilson is 1128 Monroe St, Galesburg, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffery James Wilson |
|---|---|
| Address | 1128 Monroe St, Galesburg, Illinois |
| Phone Number | 3093430028 |
| Fax Number | 3093430191 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1205939014 |
|---|---|
| Provider Enumeration Date | 2006-09-07 |
| Last Updated Date | 2013-10-01 |
Provider Mailing Address Detail
| Address | 1128 Monroe St |
|---|---|
| City | Galesburg |
| State | Illinois (IL) |
| Post Code | 614012523 |
| Phone Number | 3093430028 |
| Fax Number | 3093430191 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 38009330 |
|
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 |
|---|---|---|---|
| P0005879S | RR MEDICARE PALMETTO | ||
| 4832006 | BCBS |
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What is the unique 10-digit identifier code assigned to Jeffery James Wilson by the Centers for Medicare & Medicaid Services?
The Jeffery James Wilson has been issued the NPI (National Provider Identifier) 1205939014 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Jeffery James Wilson located?
The Jeffery James Wilson is located at 1128 Monroe St, Galesburg, IL 614012523.
What is Jeffery James Wilson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jeffery James Wilson is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1205939014 to Jeffery James Wilson?
The Jeffery James Wilson received its 1205939014 assignment from the Centers for Medicare & Medicaid Services on 2006-09-07.
When was the information regarding Jeffery James Wilson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jeffery James Wilson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-10-01.
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