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NPI Code Detail

MEDICARE: WILKERSON CHIROPRACTIC OFFICE, INC

MEDICARE: WILKERSON CHIROPRACTIC OFFICE, INC
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
1111N00000XChiropractor12311CA

General Provider Information

NPI Number : 1851637888
Entity Type Code : Organization
Provider Name (Legal Business Name) : WILKERSON CHIROPRACTIC OFFICE, INC
Provider Business Mailing Address
First Line : 519 W CARSON ST STE 101
Second Line :
City : CARSON
State : CA
Zip : 90745-2617
Country : US
Telephone Number : 310-533-1070
Fax Number :
Provider Business Practice Location Address
First Line : 519 W CARSON ST STE 101
Second Line :
City : CARSON
State : CA
Zip : 90745-2617
Country : US
Telephone Number : 310-533-1070
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. CHRISTOPHER M WILKERSON
Credential : DC
Telephone Number : 310-533-1070
Provider Enumeration Date : 12/19/2012
Last Update Date : 12/19/2012

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Directions to “WILKERSON CHIROPRACTIC OFFICE, INC ” Practice Location

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