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619 North Main St, Cave City, AR 72521-0088 | |
(870) 283-5553 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 619 North Main St, Cave City, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1861408023 | NPI | - | NPPES |
115767718 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 1159 (Arkansas) | Primary |
Provider Name | Michael A Wilson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1780705905 PECOS PAC ID: 7113098815 Enrollment ID: I20080624000759 |
Mailing Address | Practice Location Address |
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Po Box 88, 619 North Main, Cave City, AR 72521-0088 Ph: (870) 283-5553 | 619 North Main St, Cave City, AR 72521-0088 Ph: (870) 283-5553 |
Michael A Wilson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 619 North Main Street, Cave City, AR 72521 Phone: 870-283-5553 Fax: 870-283-5133 |