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NPI Code Detail

MEDICARE: DR. JOSEPH DAVID WAHL D.C.

MEDICARE: DR. JOSEPH DAVID WAHL D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor1784NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
108919OTHERNCBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447272687
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH DAVID WAHL D.C.
Provider Business Mailing Address
First Line : 361 N BENNETT ST
Second Line :
City : SOUTHERN PINES
State : NC
Zip : 28387-4812
Country : US
Telephone Number : 910-692-5207
Fax Number : 910-692-4498
Provider Business Practice Location Address
First Line : 361 N BENNETT ST
Second Line :
City : SOUTHERN PINES
State : NC
Zip : 28387-4812
Country : US
Telephone Number : 910-692-5207
Fax Number : 910-692-4498
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2006
Last Update Date : 07/08/2007

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