Wilson Family Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MC04626 Issued in NJ

Legal business name

WILSON FAMILY CHIROPRACTIC LLC

Practice address

1201 E Broad St
Millville, NJ 08332-1615

Phone

(856) 327-2100

Fax

(856) 327-1113

NPI assigned

Dec 19, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Paula J Wilson, DCNPI 1336100304

Title

President

Phone

(856) 327-2100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paula J Wilson, DC

  • Chiropractor
  • Millville, NJ
  • NPI 1336100304
  Medicare reassignment NPD Authorized official
• Martin Hahn, D.C.

  • Chiropractor
  • Millville, NJ
  • NPI 1568535060
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265595409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E BROAD ST",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083321615",
            "telephone_number": "856-327-2100",
            "fax_number": "856-327-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E BROAD ST",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083321615",
            "telephone_number": "856-327-2100",
            "fax_number": "856-327-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-327-2100",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC04626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William West Jr.
• Westside Transportation
• Marilyn Jean Wheeler, COTA
• Shannon Marie Wilcox, PTA
• Winfield Scott Williams, M.D.
• Paula J Wilson, DC
• Elizabeth Woods, LCSW
• Braylin Woolson, RBT
• Casey Nicole Worlock
• Meghan Marie Yamamoto, PHARMD

• Chiropractor in Millville, NJ
• Providers in Millville, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.