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Physician Compare National (NPI:1194259093)

HEALTHCARE PROVIDER: LINDSEY WILDER D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1194259093
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 9931469202
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20180309000431
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name WILDER
Individual professional last name
Provider First Name LINDSEY
Individual professional first name
Provider Middle Name AURORA
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name SHERMAN COLLEGE OF STRAIGHT CHIROPRACTIC
Individual professional's medical school
Graduation Year 2017
Individual professional's medical school graduation year
Primary Specialty CHIROPRACTIC
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 1181 METTLER RD
Group Practice or individual's line 1 address
City HUNTINGDON VY
Group Practice or individual's city
State PA
Group Practice or individual's state
Zip Code 190061909
Group Practice or individual's zip code (9 digits when available)
Phone Number 2675183223
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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