Wilson, Roger W
Wilson, Roger W is an sole proprietor health care provider with primary practice located at 200 Park Pl , Chagrin Falls OH 44022-4456. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wilson, Roger W can be contacted via phone (440) 247-5383.Contact Information
Primary practice address
200 Park Pl
Chagrin Falls OH 44022-4456
Phone: (440) 247-5383
Fax: (440) 338-1839
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1341 | Ohio |
Profile Details
| NPI number | 1851372775 |
|---|---|
| LBN Legal business name | Wilson, Roger W |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851372775 | NPPES |
| Ohio | Other | 421248625003 | MEDICAL MUTUAL OF OH |
| Ohio | Other | 000000149032 | MEDICAL MUTUAL OF OH |
| Ohio | Other | 1052235 | MEDICAL MUTUAL OF OH |
| Ohio | Other | 44-00336 | MEDICAL MUTUAL OF OH |
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