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Contact Information

JOHN D WISDOM, D.C.
1018 E GOODE ST STE 102
QUITMAN, SD75783
 Phone: 903-763-4404
 Fax: 903-763-2550
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for JOHN D WISDOM · (Male)

NPI Number 1942359658
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 01/10/2007
Last updated 01/12/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 7361
  • TX Medicaid 0020166-01
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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