Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON ANDREW WILSON, L.AC. M.S.O.M.
ActiveAcupuncturist · DYER, IN
Registration Details
- NPI Number
- 1861651663
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 5, 2008 (17.918234307604 yrs)
- Last Updated
- Nov 18, 2021
- License
-
198.000780 (IL)
Practice Information
- Address
-
14785 W 101ST AVE # 101DYER, IN, 463113371Browse IN providers · Browse ZIP 46311
- Phone
- 2196895563
- Fax
- 2199795253
- Primary Specialty
-
Acupuncturist
171100000X
Other Acupuncturist Providers in DYER, IN
| Name | Credential | NPI |
|---|---|---|
| DR. JESSICA LYNN PETERSON | ND, LAC | 1093331126 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.