Wilson Physical Medicine Llc

LBN: Wilson Physical Medicine Llc
Wilson Physical Medicine Llc is an health care organization with primary practice located at 130 Maple Ave Suite 7A, Red Bank NJ 07701-1734. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Rehabilitation, Other Service Providers / Specialist. Chiropractic Providers / Rehabilitation is the primary health care specialty. Wilson Physical Medicine Llc can be contacted via phone (732) 842-7004, or through Wilson, Pamela Eileen via phone (732) 842-7004.

Contact Information

Primary practice address
130 Maple Ave Suite 7A Red Bank NJ 07701-1734
Phone: (732) 842-7004
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Pamela Eileen Doctor of Chiropractic (DC)
Phone: (732) 842-7004

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Rehabilitation 111NR0400X 38MC00385100 New Jersey
Other Service Providers / Specialist 174400000X 40QA01025400 New Jersey

Profile Details

NPI number 1710273503
LBN Legal business name Wilson Physical Medicine Llc
DBA Doing business as
Authorized official Wilson, Pamela Eileen Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2011
Last updated Nov 9th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710273503 NPPES
New Jersey Other 1033232830 NPI ENTITY 1 INDIVIDUAL PROVIDER #

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