Wilson, Jeffery James

Wilson, Jeffery James is an individual health care provider with primary practice located at 1128 Monroe St , Galesburg IL 61401-2523. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wilson, Jeffery James can be contacted via phone (309) 343-0028.

Contact Information

Primary practice address
1128 Monroe St Galesburg IL 61401-2523
Phone: (309) 343-0028
Fax: (309) 343-0191
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038009330 Illinois

Profile Details

NPI number 1205939014
LBN Legal business name Wilson, Jeffery James
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
Last updated Oct 1st, 2013 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205939014 NPPES
Other P0005879S RR MEDICARE PALMETTO
Other 04832006 RR MEDICARE PALMETTO

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