Healthcare Provider Details

I. General information

NPI: 1902095144
Provider Name (Legal Business Name): WOJNICKI GLOBAL CHIROPRACTIC PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2007
Last Update Date: 11/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

939 W STACY RD STE. 180
ALLEN TX
75013-5035
US

IV. Provider business mailing address

939 W STACY RD STE. 180
ALLEN TX
75013-5035
US

V. Phone/Fax

Practice location:
  • Phone: 214-547-9600
  • Fax: 214-383-2375
Mailing address:
  • Phone: 214-547-9600
  • Fax: 214-383-2375

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number9095
License Number StateTX

VIII. Authorized Official

Name: MICHAEL WOJNICKI
Title or Position: DOCTOR/OWNER
Credential: D.C.
Phone: 214-547-9600