1952653990 NPI number — DR. JAMES TIMOTHY WILSON II D.C.

Table of content: DR. JAMES TIMOTHY WILSON II D.C. (NPI 1952653990)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952653990 NPI number — DR. JAMES TIMOTHY WILSON II D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WILSON
Provider First Name:
JAMES
Provider Middle Name:
TIMOTHY
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
II
Provider Credential Text:
D.C.
Provider Gender Code:
M

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:
1952653990
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/28/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1540 APPLING CARE LANE
Provider Second Line Business Mailing Address:
STE 105
Provider Business Mailing Address City Name:
CORDOVA
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
38016-4947
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
901-444-3950
Provider Business Mailing Address Fax Number:
901-444-3866

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1540 APPLING CARE LANE
Provider Second Line Business Practice Location Address:
STE 105
Provider Business Practice Location Address City Name:
CORDOVA
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38016-4947
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
901-444-3950
Provider Business Practice Location Address Fax Number:
901-444-3866
Provider Enumeration Date:
10/15/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  2633 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com