MARK WILSON (NPI# 1700950771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700950771 |
Entity Type | Individual |
Full Name | MARK WILSON |
Credential | DC |
Practice Address |
2300 Great Northern Ave Ste B Missoula MT 59808-1726 |
Mailing Address |
2801 Great Northern Loop Missoula MT 59808-1745 |
Practice Telephone | 4065499100 |
Practice Fax Number | 4065499151 |
Mailing Telephone | 4065499100 |
Mailing Fax Number | 4065499151 |
Enumeration Date | 2006-11-20 |
Last Update Date | 2016-11-01 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 826 | MT | Chiropractic Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518313089 | Mark Wilson | Military Health Care Provider | 1101 Grade Ln, 123 Special Tactics, Louisville, KY 40213-2673 | 2016-05-13 |
1750736088 | Mark Wilson | Clinic/Center | 5313 Ogden St, Philadelphia, PA 19139-1438 | 2016-04-23 |
1992123285 | Mark Wilson | Occupational Therapist | 2820 Roosevelt Road Ste 105, San Diego, CA 92106 | 2014-04-03 |
1053611699 | Mark Leo Wilson | Pharmacist | 5049 S 13th St, Leavenworth, KS 66048-5581 | 2010-10-29 |
1003132754 | Mark Davis Wilson | Pediatrics | 1909 Us Highway 82 W Ste 3&4, Tifton, GA 31793 | 2010-04-19 |
1013076405 | Mark R Wilson | Acupuncturist | 11573 Los Osos Valley Rd Ste H, San Luis Obispo, CA 93405-6497 | 2006-12-08 |
1578633046 | Mark K Wilson | Dentist | 107 N Maple, Osceola, AR 72370 | 2006-11-09 |
1437239357 | Mark A. Wilson | Dentist | 400 Duncan Station Rd, Mckeesport, PA 15135-3333 | 2006-10-16 |
1831287267 | Mark S Wilson | Anesthesiology | 4444 Corona Dr Ste 215, Corpus Christi, TX 78411-4300 | 2006-10-11 |
1679660682 | Mark Wilson | Emergency Medicine | 2801 Franciscan Drive, St. Joseph's Regional Health System- Emergency Dept., Bryan, TX 77802 | 2006-10-10 |
Street Address |
2300 GREAT NORTHERN AVE STE B |
City | MISSOULA |
State | MT |
Zip Code | 59808-1726 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447720875 | Megan Elizabeth Galliford | Behavioral Analyst | 1647 Shindig Dr, Apt 303, Missoula, MT 59808 | 2018-11-28 |
1518473560 | Willow Mahana Nelson Griffith | Registered Nurse | 2829 Great Northern Loop Ste 300, Missoula, MT 59808 | 2017-12-28 |
1043739428 | Carol Elizabeth Mckenzie | Student in an Organized Health Care Education/Training Program | 2705 Oshaughnessy St, Missoula, MT 59808 | 2017-09-16 |
1558884064 | Sharon Marie Herndon | Nurse Practitioner | 2230 N Reserve St Ste 402, Missoula, MT 59808 | 2017-07-18 |
1427594761 | Erin Boggs | Specialist/Technologist | 2921 Dublin St, Missoula, MT 59808 | 2017-01-10 |
1942603287 | Benjamin Cody Mcintosh | Chiropractor | 1070 N. Russell St., Missoula, MT 59808 | 2014-10-01 |
1518219617 | Pure Medical Inc | Ambulance | 5515 Bonanza Place, Missoula, MT 59808 | 2012-10-12 |
1932462231 | Kathleen F Calcagno | Specialist/Technologist | 2615 Connery Way, Suite 2b, Missoula, MT 59808 | 2012-06-21 |
1639454127 | Dentyn Dunaway | Pharmacist | 2527 N Reserve Street, Missoula, MT 59808 | 2011-10-15 |
1750557690 | Carl Thornblade, Md, Pllc | Allergy & Immunology | 2801 Great Northern Loop Ste 101, Missoula, MT 59808 | 2008-04-30 |
Find all providers in zip 59808 |
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 |
---|---|---|---|---|
1588277024 | Morgan Kumpula | Chiropractor | 235 N 1st St W Ste A, Missoula, MT 59802-3661 | 2020-08-25 |
1588288583 | Tyler Torkelson | Chiropractor | 515 S Reserve St Ste 3, Missoula, MT 59801-2125 | 2020-06-04 |
1821553421 | Elevating Health Chiropractic Pllc | Chiropractor | 101 E Broadway St Ste 203, Missoula, MT 59802-4510 | 2019-02-07 |
1467818005 | Forrest Lumpry | Chiropractor | 7680 Stegner Dr, Missoula, MT 59808-1257 | 2016-01-12 |
1942603287 | Benjamin Cody Mcintosh | Chiropractor | 1070 N. Russell St., Missoula, MT 59808 | 2014-10-01 |
1184989972 | Chiropractic Works Inc. | Chiropractor | 2330 S Higgins Ave, Suite 100, Missoula, MT 59801-6923 | 2012-07-09 |
1861759011 | Dr. Pete Chiropractic PC | Chiropractor | 1831 S 3rd St W, Missoula, MT 59801-2243 | 2012-04-12 |
1659644144 | Optimum Health and Wellness, Pllc | Chiropractor | 3000 American Way, Missoula, MT 59808-1677 | 2012-02-15 |
1790054336 | Jeffrey Michael Engel | Chiropractor | 1001 Sw Higgins Ave Ste 102, Missoula, MT 59803 | 2011-12-28 |
1154601334 | Clint Cordial | Chiropractor | 701 W. Spruce, Missoula, MT 59802 | 2011-08-19 |
Find all providers in MISSOULA |
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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.