William T Wallick Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

441 Issued in MT

Practice address

2717 Main St
Miles City, MT 59301-3902

Phone

(406) 234-2807

Fax

(406) 234-8383

NPI assigned

Nov 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Miles City Sport & Spine PC

  • Chiropractor
  • Miles City, MT
  • NPI 1881087492
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922175389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 296",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593010296",
            "telephone_number": "406-234-2807",
            "fax_number": "406-234-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 MAIN ST",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593013902",
            "telephone_number": "406-234-2807",
            "fax_number": "406-234-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLICK",
        "first_name": "WILLIAM",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "40570",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Lynn Waarvik, M.A., CCC-SLP
• Wagner Chiropractic, PLLC
• Robert John Wagner, DC
• Wal-Mart Stores, Inc. Dba Wal-Mart
• Sharlene Wallace
• Walmart Inc.
• Ashley Watson
• Mary Muggli Weimer, NP-C
• Tricia Weisgerber, RN
• Laura Wetherelt, APRN

• Chiropractor in Miles City, MT
• Providers in Miles City, MT by specialty
• Chiropractor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.