| Wilson & Allen Chiropractic Corporation | |
|
2000 W Kettleman Ln Ste 104, Lodi, CA 95242-4334 | |
| (209) 334-6947 | |
| (209) 334-6969 |
| Full Name | Wilson & Allen Chiropractic Corporation |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2000 W Kettleman Ln Ste 104, Lodi, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083201347 | NPI | - | NPPES |
| 4379 | Other | CA | CORPORATE CERTIFICATE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | James R Wilson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1417023474 PECOS PAC ID: 7911909114 Enrollment ID: I20070131000602 |
| Provider Name | Krystal S Allen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1659580702 PECOS PAC ID: 2860572567 Enrollment ID: I20080108000284 |
| Provider Name | Desirae Marie Azua |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1861177016 PECOS PAC ID: 3971963364 Enrollment ID: I20230717003113 |
| Mailing Address | Practice Location Address |
|---|---|
| Wilson & Allen Chiropractic Corporation 2000 W Kettleman Ln Ste 104, Lodi, CA 95242-4334 Ph: (209) 334-6947 | Wilson & Allen Chiropractic Corporation 2000 W Kettleman Ln Ste 104, Lodi, CA 95242-4334 Ph: (209) 334-6947 |
Mays Chiropractic Corp Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 801 S Fairmont Ave, Suite 7, Lodi, CA 95240 Phone: 209-368-1895 Fax: 209-333-1905 | |
Delu Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1420 W Kettleman Ln, B2, Lodi, CA 95242 Phone: 209-333-8690 Fax: 209-333-8692 | |
Kevin S & Tina S Watt Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1822 W Kettleman Ln, Suite 5, Lodi, CA 95242 Phone: 209-334-2366 Fax: 209-334-2377 | |
Tedra L Burke-searls, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1822 W Kettleman Ln Ste 5, Lodi, CA 95242 Phone: 209-334-2841 Fax: 209-334-2307 | |
Mr. Glen C Schaefer, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1822 W Kettleman Lane, Suite 5, Lodi, CA 95242 Phone: 209-368-1023 Fax: 209-368-8442 | |
Dr. Richard Allen Siegfried, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 814 W Lodi Ave, Lodi, CA 95240 Phone: 209-367-5888 Fax: 209-367-5888 |