MARK WILSON


Address: 2300 Great Northern Ave Ste B, Missoula, MT 59808-1726
Phone: 4065499100

MARK WILSON (NPI# 1700950771) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor 826 MT Chiropractic Providers

Other Providers MARK WILSON

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

Office Location

Street Address 2300 GREAT NORTHERN AVE STE B
City MISSOULA
State MT
Zip Code 59808-1726

Providers in the same zip code

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 Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy 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 interrelationship with other body systems.

Providers in the same taxonomy and city

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

Competitor

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City MISSOULA
Zip Code 59808

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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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