Provider Demographics
NPI:1437102688
Name:WINGET, JILL RAE (JILL WINGET, DC)
Entity Type:Individual
Prefix:DR
First Name:JILL
Middle Name:RAE
Last Name:WINGET
Suffix:
Gender:F
Credentials:JILL WINGET, DC
Other - Prefix:DR
Other - First Name:JILL
Other - Middle Name:RAE
Other - Last Name:WINGET
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:JILL WINGET, DC
Mailing Address - Street 1:7721 SIX FORKS RD
Mailing Address - Street 2:STE. 138
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-5280
Mailing Address - Country:US
Mailing Address - Phone:919-846-7004
Mailing Address - Fax:919-846-0320
Practice Address - Street 1:7721 SIX FORKS RD
Practice Address - Street 2:STE. 138
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-5280
Practice Address - Country:US
Practice Address - Phone:919-846-7004
Practice Address - Fax:919-846-0320
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2012-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2190111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC085TWOtherBCBS