Provider Demographics
NPI:1174838460
Name:SYMMETRY HEALTH INC
Entity Type:Organization
Organization Name:SYMMETRY HEALTH INC
Other - Org Name:MICHAEL C. WILSON, DC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:COLE
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:X
Authorized Official - Credentials:DC
Authorized Official - Phone:858-270-2225
Mailing Address - Street 1:4432 INGRAHAM ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92109-4404
Mailing Address - Country:US
Mailing Address - Phone:858-270-2225
Mailing Address - Fax:858-270-6898
Practice Address - Street 1:4432 INGRAHAM ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92109-4404
Practice Address - Country:US
Practice Address - Phone:858-270-2225
Practice Address - Fax:858-270-6898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-11
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-31747111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty