Jason Andrew Wilson, LACMSOM
Jason Andrew Wilson, LACMSOM is an Acupuncturist in Dyer, Indiana. Licensed in Illinois. Registered with an NPI since 2008.
- Licensed in
- IL
- In the registry since
- 2008
Practice location Address checks out
14785 W 101st Ave # 101Dyer, IN 46311-3371
Phone: (219) 689-5563
Fax: (219) 979-5253
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Specialties & licences
| Acupuncturist (primary) | Taxonomy 171100000X · Licence 198.000780 (IL) |
|---|
Record details
| NPI number | 1861651663 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LACMSOM |
| Sole proprietor | No |
| NPI enumerated | June 5, 2008 |
| Last updated in NPPES | November 18, 2021 |
| Certification date | November 18, 2021 |
| Mailing address | 14785 W 101st Ave # 101, Dyer, IN 46311-3371 |
Other providers in Dyer
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Alternative Healing Works LLC
14785 W 101st Ave # 101, Dyer, IN 46311-3371 · (219) 689-5563