Healthcare Provider Details

I. General information

NPI: 1013731918
Provider Name (Legal Business Name): QUIN NICOLE WILKES-CLERGER DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/08/2024
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3947 BRITTON PKWY
HILLIARD OH
43026-1964
US

IV. Provider business mailing address

6329 PULLMAN DR
LEWIS CENTER OH
43035-7398
US

V. Phone/Fax

Practice location:
  • Phone: 614-484-9355
  • Fax: 614-324-7472
Mailing address:
  • Phone: 618-910-0550
  • Fax: 614-324-7472

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC-05495
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: