| Zachariah Leigh Wilson, DC | |
|
36 F Catoctin Circle, Leesburg, VA 20175-1089 | |
| (703) 777-4840 | |
| Not Available |
| Full Name | Zachariah Leigh Wilson |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 15 Years |
| Location | 36 F Catoctin Circle, Leesburg, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295067197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | X011950-1 (New York) | Secondary |
| 111N00000X | Chiropractor | 0104557288 (Virginia) | Primary |
| Provider Name | Leesburg Chiropractic And Massage, P.l.l.c. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1710058490 PECOS PAC ID: 5294997417 Enrollment ID: O20120507000000 |
| Mailing Address | Practice Location Address |
|---|---|
| Zachariah Leigh Wilson, DC 5100 Highbridge St, Apt. 47e, Fayetteville, NY 13066-2411 Ph: (307) 399-1807 | Zachariah Leigh Wilson, DC 36 F Catoctin Circle, Leesburg, VA 20175-1089 Ph: (703) 777-4840 |
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