1780838185 NPI number — WILKINSONS AND ASSOCIATES INC.

Table of content: GRAHAM WERNER (NPI 1962942573)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780838185 NPI number — WILKINSONS AND ASSOCIATES INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WILKINSONS AND ASSOCIATES INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1780838185
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/09/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8812 ROSEWOOD HILLS DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EDWARDSVILLE
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
62025-7038
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
618-580-8969
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
189 E US HIGHWAY 40
Provider Second Line Business Practice Location Address:
UNIT C
Provider Business Practice Location Address City Name:
TROY
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
62294-2262
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
618-580-8969
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/11/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
WILKINSON
Authorized Official First Name:
ALVIN
Authorized Official Middle Name:
D
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
618-580-8969

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  180-000308 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 103T00000X , with the licence number: 01773 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)