DR. NICHOLAS JAMES WILSON (NPI# 1962807065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962807065 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS JAMES WILSON |
| Credential | D.C. |
| Practice Address |
450 Mill St Ste 102 Fontana WI 53125-1242 |
| Mailing Address |
1983 N Summit Ave Unit 20 Milwaukee WI 53202-1387 |
| Practice Telephone | 2622755005 |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2014-10-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5035-12 | WI | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1427400480 | Nicholas Robert-vincent Wilson | Specialist/Technologist | 513 W 12th St Apt J, Newton, KS 67114-1792 | 2016-07-01 |
| 1437233103 | Nicholas D Wilson | Physical Therapist | 476 Fortman Dr, Saint Marys, OH 45885-1870 | 2006-10-25 |
| 1518524784 | Nicholas Wilson | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-05-23 |
| 1083177638 | Nicholas Robert Wilson | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2019-04-10 |
| 1144781568 | Nicholas Anthony Wilson | Student in an Organized Health Care Education/Training Program | 1670 Upham Dr, Columbus, OH 43210-1250 | 2019-03-28 |
| 1902371222 | Nicholas Howard Wilson | Physician Assistant | 3301 Nw 50th St, Oklahoma City, OK 73112-5627 | 2018-10-12 |
| 1306211792 | Nicholas Frederick Wilson | Counselor | 11630 Sutphin Blvd, Jamaica, NY 11434-1527 | 2015-12-10 |
| 1942694922 | Nicholas Wilson | Radiology | 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 | 2015-03-26 |
| 1902225766 | Nicholas Burton Wilson | Orthopaedic Surgery | 5320 W Markham St, Little Rock, AR 72205-3528 | 2014-04-09 |
| Street Address |
450 MILL ST STE 102 |
| City | FONTANA |
| State | WI |
| Zip Code | 53125-1242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760425375 | Village of Fontana-on-geneva Lake | Ambulance | 190 Fontana Boulevard, Fontana, WI 53125-1000 | 2006-06-13 |
| 1477085819 | Joyan Sanios | Developmental Therapist | 454 N Lakeshore Dr, Fontana, WI 53125-1118 | 2017-04-03 |
| 1275150591 | Michaela Kate Mccabe | Speech-Language Pathologist | W5381 Angels Ln, Fontana, WI 53125-1197 | 2020-07-02 |
| 1639352180 | Beautiful Me | Prosthetic/Orthotic Supplier | 531 Valley View Dr, Fontana, WI 53125-1198 | 2007-12-06 |
| 1912186479 | Joint School District 8 Fontana | Local Education Agency (LEA) | 450 S Main St, Fontana, WI 53125-1232 | 2007-10-31 |
| 1811059041 | Fontana Family Dentistry | Dentist | 450 Mill St Ste 101, Fontana, WI 53125-1242 | 2006-12-14 |
| 1669531885 | Jeremy L Bria | Chiropractor | 450 Mill St, Suite 102, Fontana, WI 53125-1242 | 2006-12-06 |
| 1740675685 | Wilson Chiropractic LLC | Chiropractor | 450 Mill St, Fontana, WI 53125-1242 | 2015-03-30 |
| 1306045315 | Jlb,inc | Chiropractor | 450 Mill St, Suite 102, Fontana, WI 53125-1242 | 2007-07-11 |
| 1821151259 | David E Mccann | Dentist | 450 Mill St, Suite 101, Fontana, WI 53125-1242 | 2006-12-18 |
| Find all providers in zip 53125 | ||||
| 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 |
|---|---|---|---|---|
| 1457995300 | Joseph Richard Martinez Jr. | Chiropractor | 8460 Nuevo Ave Ste 4, Fontana, CA 92335-3824 | 2019-11-04 |
| 1437532884 | Strohbach Chiropractic, Inc | Chiropractor | 9673 Sierra Ave Ste A, Fontana, CA 92335-2424 | 2015-07-02 |
| 1376937458 | Carlos Van Darrell Seals | Chiropractor | 8561 Nuevo Ave Suite B, Fontana, CA 92335 | 2015-03-26 |
| 1164786349 | Keyhaneh Danaee Bouroumand | Chiropractor | 7762 Edison Ave, Fontana, CA 92336-3638 | 2012-07-02 |
| 1730459421 | Peter Hong | Chiropractor | 9765 Sierra Ave Ste I, Fontana, CA 92335-6777 | 2012-01-11 |
| 1104151596 | Hope Chiropractic Group | Chiropractor | 8624 Sierra Ave, Fontana, CA 92335-3842 | 2009-10-02 |
| 1033389408 | Rancho Industrial Medical Group, Inc. | Chiropractor | 14384 Slover Ave, Fontana, CA 92337-7122 | 2008-03-02 |
| 1578785408 | Farkhondeh Mokri-arganeh | Chiropractor | 16767 Valley Blvd., Suite 'd', Fontana, CA 92335 | 2007-05-02 |
| 1841335627 | Richard Curtis Lindwall Jr. | Chiropractor | 11683 Cherry Ave Ste 9, Fontana, CA 92337-2787 | 2007-02-20 |
| 1669531885 | Jeremy L Bria | Chiropractor | 450 Mill St, Suite 102, Fontana, WI 53125-1242 | 2006-12-06 |
| Find all providers in FONTANA | ||||
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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.