MEDICARE: DR. QUIN NICOLE WILKES-CLERGER DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC-05495	OH

General Provider Information

NPI Number	:	1013731918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. QUIN NICOLE WILKES-CLERGER DC

Provider Business Mailing Address
First Line	:	6329 PULLMAN DR
Second Line	:
City	:	LEWIS CENTER
State	:	OH
Zip	:	43035-7398
Country	:	US
Telephone Number	:	618-910-0550
Fax Number	:	614-324-7472

Provider Business Practice Location Address
First Line	:	3947 BRITTON PKWY
Second Line	:
City	:	HILLIARD
State	:	OH
Zip	:	43026-1964
Country	:	US
Telephone Number	:	614-484-9355
Fax Number	:	614-324-7472

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2024
Last Update Date	:	12/15/2025

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