National Provider Identifier Database

WILSON CHIROPRACTIC CLINIC
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.


Contact Information

WILSON CHIROPRACTIC CLINIC
3390 COLONIAL AVE
ROANOKE, VA24018
Phone: 540-776-0101
Fax: 540-776-7873
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for WILSON CHIROPRACTIC CLINIC

NPI Number 1275692386
Legal business name
LBN
WILSON CHIROPRACTIC CLINIC
Authorized official HOWARD WILSON - (PRESIDENT)
Entity Organization
Organization subpart Yes
Enumeration date 12/06/2006
Last updated 08/01/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • VA License #: 0104001092

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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