DR. ROGER W WILSON D.C. NPI 1851372775

NPI Information

NPI: 1851372775
Provider Name: DR. ROGER W WILSON, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
200 PARK PL
CHAGRIN FALLS, OH
ZIP 44022
Phone: (440) 247-5383
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DR. Roger W Wilson, D.C. is a chiropractor in Chagrin Falls, OH. 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. Roger W Wilson, D.C. NPI is 1851372775. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

200 PARK PL
CHAGRIN FALLS, OH
ZIP 44022-456
Phone: (440) 247-5383
Fax: (440) 338-1839

The enumeration date for this NPI number is 11/8/2005 and was last updated on 7/8/2007.

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		1341	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000000149032	OTHER	OHIO	ANTHEM BC & BS
2	T01291	MEDICARE UPIN	OHIO
3	44-00336	OTHER	OHIO	UNITEDHEALTH CARE
4	0629241	MEDICARE ID-TYPE UNSPECIFIED	OHIO
5	1052235	OTHER	OHIO	AETNA
6	421248625003	OTHER	OHIO	MEDICAL MUTUAL OF OH

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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