Individual
DR. ADAM LEWIS WILDING
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
140 PROFESSIONAL CIR, WILLIAMSBURG, VA 23185-3374
(757) 220-9670
(757) 564-1197
Mailing address
140 PROFESSIONAL CIR, WILLIAMSBURG, VA 23185-3374
(757) 220-9670
(757) 564-1197
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104002050
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10390667
CAQH NETWORK
VA
01
—
143001
BC/BS
VA
01
—
3182289
CIGNA PROVIDER ID
VA
01
—
7223005
AETNA
VA
01
—
P00164621
RAILROAD MEDICARE
VA
Enumeration date
01/26/2006
Last updated
07/09/2007
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