R Eilleen Decena Wilbert in Wichita - Chiropractor

R Eilleen Decena Wilbert - NPI 1376649699

R Eilleen Decena Wilbert is a Chiropractor in Wichita, Kansas. R Eilleen Decena Wilbert practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for R Eilleen Decena Wilbert is 1376649699. The last update date is 2015-02-25.

R Eilleen Decena Wilbert's current location address is 2434 N Woodlawn St, Wichita, Kansas. You can contact this provider via phone number 3166835490 and fax number 3166830630. The mailing address for R Eilleen Decena Wilbert is 2434 N Woodlawn St, Wichita, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name R Eilleen Decena Wilbert
Address 2434 N Woodlawn St, Wichita, Kansas
Phone Number 3166835490
Fax Number 3166830630
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1376649699
Provider Enumeration Date 2006-09-15
Last Updated Date 2015-02-25

Provider Mailing Address Detail

Address 2434 N Woodlawn St
City Wichita
State Kansas (KS)
Post Code 672203959
Phone Number 3166835490
Fax Number 3166830630

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 01-05015
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
16-1745407 TAX IDENTIFICATION

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FAQs about R Eilleen Decena Wilbert

What is the unique 10-digit identifier code assigned to R Eilleen Decena Wilbert by the Centers for Medicare & Medicaid Services?

The R Eilleen Decena Wilbert has been issued the NPI (National Provider Identifier) 1376649699 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where R Eilleen Decena Wilbert is physically located?

The R Eilleen Decena Wilbert is physically situated at the following address: 2434 N Woodlawn St, Wichita, KS, 672203959.

What is R Eilleen Decena Wilbert's specialized field of practice, and what is the corresponding taxonomy classification code?

The R Eilleen Decena Wilbert's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1376649699 to R Eilleen Decena Wilbert?

The R Eilleen Decena Wilbert received its 1376649699 assignment from the Centers for Medicare & Medicaid Services on 2006-09-15.

As of what date was the information regarding R Eilleen Decena Wilbert, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to R Eilleen Decena Wilbert, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-02-25.

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