MS. MIKISA WILDER


Address: 5502 Cedar Ave Apt 1a, Philadelphia, PA 19143-1930
Phone: 2679732312

MS. MIKISA WILDER (NPI# 1043728868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043728868
Entity Type Individual
Full Name MS. MIKISA WILDER
Credential NCMA
Practice Address 5502 Cedar Ave Apt 1a
Philadelphia
PA 19143-1930
Practice Telephone 2679732312
Mailing Telephone 2679732312
Enumeration Date 2018-01-15
Last Update Date 2018-01-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171100000X Acupuncturist 503146 PA Other Service Providers

Office Location

Street Address 5502 CEDAR AVE APT 1A
City PHILADELPHIA
State PA
Zip Code 19143-1930

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Taxonomy Information

Taxonomy Code 171100000X
Grouping Other Service Providers
Classification Acupuncturist

Taxonomy Definition

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558995258 Holly Prescott Acupuncturist 2012 Walnut St, Philadelphia, PA 19103-5655 2020-03-03
1023661345 Meridian Health Factory LLC Acupuncturist 128 N 10th St Fl 2, Philadelphia, PA 19107-2358 2019-07-17
1225680234 Jeanne Marie Andrews Acupuncturist 116 W Abington Ave, Philadelphia, PA 19118-3937 2019-07-10
1639739246 Mei Li Acupuncturist 1420 Locust St Unit R1a-3, Philadelphia, PA 19102-4223 2019-06-17
1184184327 Lora Martin Acupuncturist 110 S 20th St Ste 200, Philadelphia, PA 19103-4486 2019-03-22
1396216149 Jason Krantz Acupuncturist 16 N 3rd St # 3, Philadelphia, PA 19106-2113 2018-12-05
1649761677 Dawn Webster Acupuncturist 466 N 10th St, Philadelphia, PA 19123 2018-05-25
1295261477 Fabric Spa, LLC Acupuncturist 728 S 4th St, Philadelphia, PA 19147-3120 2017-05-05
1073046058 Super Acucare Acupuncturist 46 N 10th St Fl 1, Philadelphia, PA 19107-3005 2017-04-06
1295273951 Aliya Akbasheva Acupuncturist 830 Welsh Rd, Philadelphia, PA 19115-2823 2017-02-02
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Competitor

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City PHILADELPHIA
Zip Code 19143

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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