WILSON CHIROPRACTIC CLINIC (NPI# 1689898488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689898488 |
| Entity Type | Organization |
| Organization Name | WILSON CHIROPRACTIC CLINIC |
| Practice Address |
2005 E Grand Ave Marshall TX 75672 |
| Mailing Address |
Po Box 2006 Marshall TX 75671 |
| Practice Telephone | 9039350949 |
| Practice Fax Number | 9039350949 |
| Mailing Telephone | 9039350949 |
| Mailing Fax Number | 9039350949 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2008-06-22 |
| Authorized Official Name | KEVIN F WILSON (OWNER) |
| Authorized Official Telephone | 9039350949 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4384 | TX | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568674448 | Wilson Chiropractic Clinic | Chiropractor | 414 W 1st Ave, Garnett, KS 66032-1004 | 2007-05-04 |
| 1275692386 | Wilson Chiropractic Clinic | Chiropractor | 3390 Colonial Ave, Roanoke, VA 24018 | 2006-12-06 |
| Street Address |
2005 E GRAND AVE |
| City | MARSHALL |
| State | TX |
| Zip Code | 75672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783376 | Alexander Barroga | Licensed Vocational Nurse | 605 Pr 1332, Marshall, TX 75672 | 2019-01-09 |
| 1699256909 | Paula Dawn Swilley | Occupational Therapy Assistant | 7247 Strickland Springs Rd, Marshall, TX 75672 | 2018-08-24 |
| 1255825394 | Dayspring Therapeutic Equestrian Center of Harrison County Inc | Specialist | 2609 Fern Lake Cutoff, Marshall, TX 75672 | 2018-06-21 |
| 1225587934 | Jeremy Scott Utley | Nurse Practitioner | 808 Harper Dr., Marshall, TX 75672 | 2016-09-23 |
| 1710352513 | Abel Stevenson | Pharmacist | 300 East End Blvd, Marshall, TX 75672 | 2015-12-04 |
| 1730277187 | John Carrell Cayce | Dentist | 2302 S Washington St, Marshall, TX 75672 | 2006-10-11 |
| 1649239005 | Katharine J Balbuena Md | Physical Medicine & Rehabilitation | 811 South Washington, Marshall, TX 75672 | 2006-03-22 |
| 1245583848 | Bob J Herrin | General Practice | 104 Albemarle Rd., Marshall, TX 75672-1526 | 2012-10-19 |
| 1578106753 | Lauren Gayle Ricossa | Nurse Practitioner | 2908 Fern Lake Cutoff, Marshall, TX 75672-1593 | 2019-10-21 |
| 1801350814 | Ursula Candy Betancourt | Occupational Therapy Assistant | 4590 Fm 1793, Marshall, TX 75672-1620 | 2019-01-23 |
| Find all providers in zip 75672 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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 interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720581952 | Jessica Ann Peterson | Chiropractor | 1305 E College Dr Ste B, Marshall, MN 56258-2073 | 2018-03-14 |
| 1780131771 | John Fitzgibbon Memorial Hospital, Inc. | Chiropractor | 2305 South 65 Highway Building A, Marshall, MO 65340-3702 | 2016-09-07 |
| 1447706718 | Kylie Clemons | Chiropractor | 2305 South 65 Hwy, Marshall, MO 65340-3702 | 2016-08-28 |
| 1346624947 | Hennen Chiropractic P.l.l.c. | Chiropractor | 1411 E College Dr Ste 105, Marshall, MN 56258-2086 | 2015-07-13 |
| 1114310257 | Bryan Simpson | Chiropractor | 187 S Lyon Ave, Marshall, MO 65340-1965 | 2015-03-13 |
| 1720351406 | Michael Kern | Chiropractor | 303 S Oconnell St, Marshall, MN 56258-2637 | 2012-02-11 |
| 1285851188 | Wellum Chiropractic Center Inc | Chiropractor | 1602 Illinois Hwy 1, Marshall, IL 62441 | 2007-04-20 |
| 1417085671 | Lance P Cook | Chiropractor | 201 W Pinecrest Dr, Marshall, TX 75670-7173 | 2007-03-01 |
| 1467590331 | Lockhart Chiropractic, Inc. | Chiropractor | 754 S Odell Ave, Marshall, MO 65340-2504 | 2007-02-02 |
| 1295881324 | Quentin James Fixen | Chiropractor | 104 W Redwood St, Marshall, MN 56258-1853 | 2007-01-25 |
| Find all providers in MARSHALL | ||||
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| 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.