Larry G Wilde is a Chiropractor in American Fork, Utah. Larry G Wilde practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Larry G Wilde is 1770515934. The last update date is 2007-07-08.
Larry G Wilde's current location address is 246 S 1100 E, American Fork, Utah. You can contact this provider via phone number 8901756883 and fax number 8017569014. The mailing address for Larry G Wilde is 246 S 1100 E, American Fork, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry G Wilde |
|---|---|
| Address | 246 S 1100 E, American Fork, Utah |
| Phone Number | 8901756883 |
| Fax Number | 8017569014 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1770515934 |
|---|---|
| Provider Enumeration Date | 2006-07-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 246 S 1100 E |
|---|---|
| City | American Fork |
| State | Utah (UT) |
| Post Code | 840032829 |
| Phone Number | 8901756883 |
| Fax Number | 8017569014 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 290149-1202 |
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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 identifier code issued to Larry G Wilde by the Centers for Medicare & Medicaid Services?
The Larry G Wilde has been assigned the NPI (National Provider Identifier) 1770515934 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Larry G Wilde located?
The Larry G Wilde is located at 246 S 1100 E, American Fork, UT 840032829.
What is Larry G Wilde's area of expertise and its corresponding taxonomy classification?
The Larry G Wilde's field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.
When did the Larry G Wilde receive its 1770515934?
The Larry G Wilde was issued its 1770515934 on 2006-07-07, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Larry G Wilde last refreshed?
The information related to the Larry G Wilde, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY