MEDICARE: FRANCIS D WILAMOSKY 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	DC 1939	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00000213332	OTHER	OH	ANTHEM
2	2700564	OTHER	OH	AETNA

General Provider Information

NPI Number	:	1992801815
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCIS D WILAMOSKY D.C.

Provider Business Mailing Address
First Line	:	1217 GRANDVIEW AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43212-3455
Country	:	US
Telephone Number	:	614-488-3000
Fax Number	:	614-481-2100

Provider Business Practice Location Address
First Line	:	1217 GRANDVIEW AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43212-3455
Country	:	US
Telephone Number	:	614-488-3000
Fax Number	:	614-481-2100

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

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	04/16/2014

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