Individual
DR. STEVEN JOSEPH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.SC. D.C.
Contact information
Practice address
1570 WILMINGTON DR, SUITE 120, DUPONT, WA 98327-8773
(253) 964-1325
(253) 964-1329
Mailing address
1570 WILMINGTON DR, STE. 120, DUPONT, WA 98327-8773
(253) 964-1325
(253) 964-1329
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00033638
WA
111NR0400X
Rehabilitation Chiropractor
CH00033638
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366637233
GROUP NPI
WA
05
—
2026177
—
WA
01
—
8801606
GROUP MEDICARE
WA
Enumeration date
10/02/2006
Last updated
04/25/2014
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