Healthcare Provider Details

I. General information

NPI: 1598796047
Provider Name (Legal Business Name): GEORGE A WILHELM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 08/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1263 NATIONAL PIKE
HOPWOOD PA
15445
US

IV. Provider business mailing address

1263 NATIONAL PIKE P.O. BOX 476
HOPWOOD PA
15445
US

V. Phone/Fax

Practice location:
  • Phone: 724-438-4000
  • Fax: 724-438-7010
Mailing address:
  • Phone: 724-438-4000
  • Fax: 724-438-7010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC-001828-L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: