Provider Demographics
NPI:1932271103
Name:WILSON FAMILY CHIROPRACTIC, PC
Entity Type:Organization
Organization Name:WILSON FAMILY CHIROPRACTIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:K
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:828-587-2273
Mailing Address - Street 1:286 E MAIN ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-2821
Mailing Address - Country:US
Mailing Address - Phone:828-587-2273
Mailing Address - Fax:828-587-2274
Practice Address - Street 1:286 E MAIN ST
Practice Address - Street 2:SUITE 4
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-2821
Practice Address - Country:US
Practice Address - Phone:828-587-2273
Practice Address - Fax:828-587-2274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3493111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty