WILSON CHIROPRACTIC CLINIC NPI 1275692386

NPI Information

  • NPI: 1275692386
  • Provider Name: WILSON CHIROPRACTIC CLINIC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Doing Business As: BRAMBLETON COMMONS CHIROPRACTIC
  • Address: 3390 COLONIAL AVE
    ROANOKE, VA
    ZIP 24018
  • Phone: (540) 776-0101

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NPI Details

WILSON CHIROPRACTIC CLINIC is a chiropractor in Roanoke, VA. The provider is 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. WILSON CHIROPRACTIC CLINIC NPI is 1275692386. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Brambleton Commons Chiropractic.

The provider's business location address is:

3390 COLONIAL AVE
ROANOKE, VA
ZIP 24018
Phone: (540) 776-0101
Fax: (540) 776-7873

The provider's authorized official is Howard Kendall Wilson .
The authorized official title is President and has the following contact phone number (540) 776-0101.

The enumeration date for this NPI number is 12/6/2006 and was last updated on 8/1/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor0104001092VIRGINIAYes

What is NPI?

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This page was last updated on: 3/30/2025

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