Individual provider · Type 1 NPI
Keith Wilson, DC
Chiropractor · Somerset, NJ
NPI number
1205907615
Active
Practice location
1717 Amwell Road
Somerset, NJ 08873
Fax (732) 873-8575
Mailing address
22 Nina Court
Somerset, NJ 08873
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 38MC00175300 (NJ) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1205907615
Keith Wilson, DC's National Provider Identifier is 1205907615, issued on Nov 10, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Somerset, NJ. The record was last updated on Jul 8, 2007.