Active NPIIndividual providerSole proprietor

Jon R Wilson, LAC

Acupuncturist in Peterborough, New Hampshire

NPI Number1750936282
Practice location
225 Concord St, Peterborough, NH 03458-1207
Fax
—
Last updated
January 3, 2022

Jon Randolph Wilson is an Acupuncturist based in Peterborough, NH. Jon Randolph Wilson practices in Peterborough, NH and has the professional credentials of LAC. The NPI Number for Jon Randolph Wilson is 1750936282 and holds a License No. 310 (NH). The current practice location address for Jon Randolph Wilson is 225 Concord St, Peterborough, NH 03458-1207 and can be reached out via phone at 603-933-1577.

Provider Profile Details

NPI Number
1750936282
Provider Name
Jon Randolph Wilson
Credential
LAC
Provider Entity Type
Individual
Gender
Male
Address
225 Concord St, Peterborough, NH 03458-1207
Phone Number
603-933-1577
Primary Taxonomy
Acupuncturist · 171100000X
Sole Proprietor
Yes
Provider Enumeration Date
August 1, 2019
Last Update Date
January 3, 2022
Certification Date
December 27, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
225 Concord St
Peterborough, NH 03458-1207
Zip
03458-1207
Phone Number
603-933-1577
Peterborough, NH 03458Get directions →

Provider Business Mailing Address Details

Address
225 Concord St
Peterborough, NH 03458-1207
City
Peterborough
State
NH
Zip
03458-1207
Phone Number
603-933-1577

License Information

License Number (1)
310
License State (1)
NH
Taxonomy (1)
Acupuncturist · 171100000X · Primary
License Number (2)
ACU-1257
License State (2)
HI
Taxonomy (2)
Acupuncturist · 171100000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jon R Wilson, LAC?

The NPI number of Jon R Wilson, LAC is 1750936282. It was assigned on August 1, 2019 and is currently active in the NPPES registry.

What is the specialty of Jon R Wilson, LAC?

Jon R Wilson, LAC is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in NH under license number 310.

Where does Jon R Wilson, LAC practice?

The practice location is 225 Concord St, Peterborough, NH 03458-1207. The office can be reached at 603-933-1577 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1750936282 directly on the NPPES registry website.

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