Wilks Technician LLC

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

WILKS TECHNICIAN LLC

Practice address

209 Streamview Dr
Fredericksburg, VA 22405-1259

Phone

(703) 763-9822

NPI assigned

Jan 28, 2021

Last updated

Jan 28, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Frank Rudolph Wilks

Title

Technician

Phone

(703) 763-9822

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1578154076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 STREAMVIEW DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224051259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 STREAMVIEW DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224051259",
            "telephone_number": "703-763-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKS TECHNICIAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "WILKS",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "RUDOLPH",
        "authorized_official_title_or_position": "TECHNICIAN",
        "authorized_official_telephone_number": "703-763-9822"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Contractor in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Contractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.