MEDICARE: CHRISTOPHER WAYNE WILCOX

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	171W00000X	Contractor		NE

General Provider Information

NPI Number	:	1598603854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER WAYNE WILCOX

Provider Business Mailing Address
First Line	:	1246 N COLORADO AVE
Second Line	:
City	:	HASTINGS
State	:	NE
Zip	:	68901-3116
Country	:	US
Telephone Number	:	729-419-2772
Fax Number	:

Provider Business Practice Location Address
First Line	:	1246 N COLORADO AVE
Second Line	:
City	:	HASTINGS
State	:	NE
Zip	:	68901-3116
Country	:	US
Telephone Number	:	719-419-2772
Fax Number	:

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

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	03/24/2026

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Directions to “ CHRISTOPHER WAYNE WILCOX ” Practice Location

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