Provider Demographics
NPI:1215960356
Name:WILKINS FAMILY CHIROPRACTIC LLC
Entity type:Organization
Organization Name:WILKINS FAMILY CHIROPRACTIC LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:LINCOLN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-361-9531
Mailing Address - Street 1:1731 WILMINGTON PIKE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:GLEN MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:19342-8169
Mailing Address - Country:US
Mailing Address - Phone:610-361-9531
Mailing Address - Fax:610-361-9407
Practice Address - Street 1:1731 WILMINGTON PIKE
Practice Address - Street 2:SUITE 6
Practice Address - City:GLEN MILLS
Practice Address - State:PA
Practice Address - Zip Code:19342-8169
Practice Address - Country:US
Practice Address - Phone:610-361-9531
Practice Address - Fax:610-361-9407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006888L111N00000X
PADC007115L111N00000X
PADC009660111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA093672Medicare ID - Type Unspecified
PAU90940Medicare UPIN
PA036614Medicare ID - Type Unspecified