MEDICARE: JACOB WILSON D.C

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	DC011893	PA

General Provider Information

NPI Number	:	1669241840
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACOB WILSON D.C

Provider Business Mailing Address
First Line	:	2540 NEW BUTLER RD STE 201
Second Line	:
City	:	NEW CASTLE
State	:	PA
Zip	:	16101-3231
Country	:	US
Telephone Number	:	724-856-8390
Fax Number	:	724-856-8573

Provider Business Practice Location Address
First Line	:	2540 NEW BUTLER RD STE 201
Second Line	:
City	:	NEW CASTLE
State	:	PA
Zip	:	16101-3231
Country	:	US
Telephone Number	:	724-856-8390
Fax Number	:	724-856-8573

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

Provider Enumeration Date	:	12/28/2023
Last Update Date	:	12/28/2023

Similar Medicare Providers

1093718850 — DR. PAMELA L SCHOEMER MD
Practice Location Address:

2540 NEW BUTLER RD STE 200
NEW CASTLE, PA
16101-3231

Practice Phone: 724-654-2776
Practice Fax:

1982690285 — DR. ALAN W. HOUK D.C.
Practice Location Address:

2540 NEW BUTLER RD STE 201
NEW CASTLE, PA
16101-3231

Practice Phone: 724-856-9390
Practice Fax: 724-856-8573

1518118819 — MRS. ERIKA LEIGH CIALELLA PA-C
Practice Location Address:

2540 NEW BUTLER RD
NEW CASTLE, PA
16101-3231

Practice Phone: 724-654-2776
Practice Fax:

1427474253 — JESSICA DAUGHERTY LPC
Practice Location Address:

2540 NEW BUTLER RD
NEW CASTLE, PA
16101-3231

Practice Phone: 724-654-2776
Practice Fax: 724-657-3203

1205299625 — ANDREA DAVIS
Practice Location Address:

2540 NEW BUTLER RD , SUITE 2
NEW CASTLE, PA
16101-3231

Practice Phone: 246-542-7767
Practice Fax:

1316513773 — DR. DAKOTA ZOEY PETERSON MD
Practice Location Address:

2540 NEW BUTLER RD STE 200
NEW CASTLE, PA
16101-3231

Practice Phone: 724-654-2776
Practice Fax:

Directions to “ JACOB WILSON D.C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.