NPI 1861651663

Jason Andrew Wilson, LACMSOM

Practitioner Acupuncturist Dyer, IN

Practice location

Address: 14785 W 101st Ave # 101, Dyer, IN 46311-3371
Phone: (219) 689-5563
Fax: (219) 979-5253

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence 198.000780 (IL)

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Registry record

NPI: 1861651663
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jun 2008
Record last updated: 18 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.