Benjamin Gregg Wilson in Tyler - Chiropractor
Benjamin Gregg Wilson - NPI 1952439028
Benjamin Gregg Wilson is a Chiropractor in Tyler, Texas. Benjamin Gregg Wilson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Benjamin Gregg Wilson is 1952439028. The last update date is 2007-07-08.
Benjamin Gregg Wilson's current location address is 3625 Mcdonald Rd, Tyler, Texas. You can contact this provider via phone number 9035654263. The mailing address for Benjamin Gregg Wilson is 3625 Mcdonald Rd, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Benjamin Gregg Wilson |
|---|---|
| Address | 3625 Mcdonald Rd, Tyler, Texas |
| Phone Number | 9035654263 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1952439028 |
|---|---|
| Provider Enumeration Date | 2007-03-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3625 Mcdonald Rd |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757016224 |
| Phone Number | 9035654263 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 10527 |
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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 10-digit identification code assigned to Benjamin Gregg Wilson by the Centers for Medicare & Medicaid Services?
The Benjamin Gregg Wilson has been issued the NPI (National Provider Identifier) 1952439028, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Benjamin Gregg Wilson is physically located?
The Benjamin Gregg Wilson is physically situated at the following address: 3625 Mcdonald Rd, Tyler, TX, 757016224.
What is the Benjamin Gregg Wilson's specialty and taxonomy code?
The Benjamin Gregg Wilson's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date did the Benjamin Gregg Wilson receive its 1952439028 assignment from the Centers for Medicare & Medicaid Services?
The Benjamin Gregg Wilson was assigned its 1952439028 by the Centers for Medicare & Medicaid Services on 2007-03-01.
As of what date were the Benjamin Gregg Wilson's details last updated?
The information pertaining to the Benjamin Gregg Wilson, including its address, specialty, and other details, was most recently updated on 2007-07-08.