DR. CHAD CHRISTIAN WYATT D.C. NPI 1326287939

NPI Information

NPI: 1326287939
Provider Name: DR. CHAD CHRISTIAN WYATT, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
2202 EASTLAND DR
SUITE B
BLOOMINGTON, IL
ZIP 61704
Phone: (870) 822-0218
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DR. Chad Christian Wyatt, D.C. is a chiropractor in Bloomington, IL with 16 years of experience. 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. DR. Chad Christian Wyatt, D.C. NPI is 1326287939. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOGAN COLLEGE OF CHIROPRACTIC
Graduation Year:2008

The provider's business location address is:

2202 EASTLAND DR
SUITE B
BLOOMINGTON, IL
ZIP 61704-585
Phone: (870) 822-0218

The enumeration date for this NPI number is 2/5/2009 and was last updated on 2/5/2009.

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
1	111N00000X	Chiropractor		03801136	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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