Individual
DR. SCOTT DAVID WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
817 N 1ST AVE, EVANSVILLE, IN 47710-1937
(812) 422-1380
(812) 425-2902
Mailing address
817 N 1ST AVE, EVANSVILLE, IN 47710-1937
(812) 422-1380
(812) 425-2902
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08000820A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000194343
ANTHEM BCBS
IN
Enumeration date
12/04/2006
Last updated
07/08/2007
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