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Dr. Wayne Robert Carlsson, DC
Chiropractor in Lakewood, New York
NPI 1720054141

Wayne Robert Carlsson is a Chiropractor based in Lakewood, NY. Wayne Robert Carlsson practices in Lakewood, NY and has the professional credentials of DC. The NPI Number for Wayne Robert Carlsson is 1720054141 and holds a License No. X010927 (New York).

The current practice location address for Wayne Robert Carlsson is 60 W Fairmount Ave, Lakewood, NY and can be reached out via phone at 716-763-0949 and via fax at 716-763-0952.

Location: 60 W Fairmount Ave, Lakewood, NY, 14750-1723
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720054141
Provider Name
Wayne Robert Carlsson
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
60 W Fairmount Ave, Lakewood, NY, 14750-1723
Phone Number
716-763-0949
Fax Number
716-763-0952
Provider Enumeration Date
02/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C10927-4B 01 NY WORKER'S COMPENSATION
000270363-01 01 NY UNIVERA
000293039003 01 NY BLUECROSS BLUESHIELD
8812768 01 NY INDEPENDENT HEALTH
institution
Provider Business Practice Location Address Details
Address
60 W Fairmount Ave
City
Lakewood
State
New York
Zip
14750-1723
Phone Number
716-763-0949
Fax Number
716-763-0952
person
Provider Business Mailing Address Details
Address
60 W Fairmount Ave
City
Lakewood
State
New York
Zip
14750-1723
Phone Number
716-763-0949
Fax Number
716-763-0952
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
X010927 (New York)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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