Gregory D Wilson in Mount Pleasant - Sports Physician

Gregory D Wilson - NPI 1003877507

Gregory D Wilson is a Sports Physician in Mount Pleasant, Pennsylvania. Gregory D Wilson practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Gregory D Wilson is 1003877507. The last update date is 2020-08-19.

Gregory D Wilson's current location address is 633 W Main St Ste 1, Mount Pleasant, Pennsylvania. You can contact this provider via phone number 7245428864 and fax number 7245428086. The mailing address for Gregory D Wilson is 633 W Main St Ste 1, Mount Pleasant, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Gregory D Wilson
Address 633 W Main St Ste 1, Mount Pleasant, Pennsylvania
Phone Number 7245428864
Fax Number 7245428086
Sole Proprietor Y
Credentials DC

NPI Number Detail

NPI Number 1003877507
Provider Enumeration Date 2006-04-01
Last Updated Date 2020-08-19

Provider Mailing Address Detail

Address 633 W Main St Ste 1
City Mount Pleasant
State Pennsylvania (PA)
Post Code 156661846
Phone Number 7245428864
Fax Number 7245428086

Provider's Primary Taxonomy Detail

Speciality Sports Physician
Taxonomy 111Ns0005X
Licence No DC008014L
Definition:
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP)

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FAQs about Gregory D Wilson

What is the unique 10-digit identification code assigned to Gregory D Wilson by the Centers for Medicare & Medicaid Services?

The Gregory D Wilson has been issued the NPI (National Provider Identifier) 1003877507, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Gregory D Wilson's facilities are situated?

The facilities of Gregory D Wilson are physically located at the following address: 633 W Main St Ste 1, Mount Pleasant, PA, 156661846.

What is Gregory D Wilson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Gregory D Wilson's area of specialization is Sports Physician, and the corresponding taxonomy code that categorizes this field of practice is 111Ns0005X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1003877507 to Gregory D Wilson?

The Centers for Medicare & Medicaid Services originally issued the 1003877507 to Gregory D Wilson on 2006-04-01.

When was the information pertaining to Gregory D Wilson most recently updated or revised?

The details related to Gregory D Wilson, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-19.

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