Provider Demographics
NPI:1972854784
Name:WILSON NATURAL HEALING CO.
Entity Type:Organization
Organization Name:WILSON NATURAL HEALING CO.
Other - Org Name:CROSSROADS CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-674-9800
Mailing Address - Street 1:3072 EVERGREEN PKWY
Mailing Address - Street 2:
Mailing Address - City:EVERGREEN
Mailing Address - State:CO
Mailing Address - Zip Code:80439-7979
Mailing Address - Country:US
Mailing Address - Phone:303-674-9800
Mailing Address - Fax:303-674-9803
Practice Address - Street 1:3072 EVERGREEN PKWY
Practice Address - Street 2:105
Practice Address - City:EVERGREEN
Practice Address - State:CO
Practice Address - Zip Code:80439-7979
Practice Address - Country:US
Practice Address - Phone:303-674-9800
Practice Address - Fax:303-674-9803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-20
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6774111N00000X
CO6791111N00000X
CO2778016171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty