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General NPI Number Information
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NPI Number | 1487731923
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Entity Type | Organization
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Legal Business Name | RICHARD L WILCOX DC
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 05/09/2008
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Provider Practice Location Address
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Address Line | 1958 E VINEYARD ST
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City | WAILUKU
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State | HI
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Zip | 96793-1715
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Country | US
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Telephone | 808-871-6996
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Fax | 808-893-0866
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Provider Business Mailing Address
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Address Line | 1958 E VINEYARD ST
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City | WAILUKU
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State | HI
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Zip | 96793-1715
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Country | US
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Telephone | 808-871-6996
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Fax | 808-893-0866
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD L WILCOX
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Credential | DC
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Telephone | 808-871-6996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC384
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 15432
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 18844
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC445
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License Number State | HI
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