Wiley, Jerald Dale
Wiley, Jerald Dale is an individual health care provider with primary practice located at 1520 3Rd St Nw Suite E, Great Falls MT 59404. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wiley, Jerald Dale can be contacted via phone (406) 727-5757.Contact Information
Primary practice address
1520 3Rd St Nw Suite E
Great Falls MT 59404
Phone: (406) 727-5757
Fax: (406) 727-7006
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 786 | Montana |
Profile Details
| NPI number | 1528123130 |
|---|---|
| LBN Legal business name | Wiley, Jerald Dale |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528123130 | NPPES |
| Montana | Other | 00040903 | BLUE CROSS BLUE SHIELD |
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