Wilson, Jennifer Susan

Wilson, Jennifer Susan is an individual health care provider with primary practice located at 7060 Phelan Blvd Suite 101, Beaumont TX 77706-6168. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Wilson, Jennifer Susan can be contacted via phone (409) 866-8661.

Contact Information

Primary practice address
7060 Phelan Blvd Suite 101 Beaumont TX 77706-6168
Phone: (409) 866-8661
Fax: (409) 866-4371
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 9991 Texas

Profile Details

NPI number 1427109750
LBN Legal business name Wilson, Jennifer Susan
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427109750 NPPES
Texas Other 9991 STATE LICENSE
Texas Other 8K7171 STATE LICENSE

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