Organization
WILSON CHIROPRACTIC CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOE H WILSON (PRESIDENT)
(337) 948-1856
Entity
Organization
Contact information
Practice address
215 S MARKET ST, OPELOUSAS, LA 70570-5139
(337) 948-1856
(337) 948-1262
Mailing address
215 S MARKET ST, OPELOUSAS, LA 70570-5139
(337) 948-1856
(337) 948-1262
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
188
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1951358
—
LA
01
—
20088
BLUE CROSS BLUE SHIELD OF LA.
LA
Enumeration date
05/30/2008
Last updated
08/27/2008
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