WHARTON ENTERPRISES LTD NPI 1851164214

NPI Information

NPI: 1851164214
Provider Name: WHARTON ENTERPRISES LTD
Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
106 S VICKSBURG ST
MARION, IL
ZIP 62959
Phone: (618) 992-2322
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WHARTON ENTERPRISES LTD is a massage therapist in Marion, IL. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. WHARTON ENTERPRISES LTD NPI is 1851164214. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

106 S VICKSBURG ST
MARION, IL
ZIP 62959-930
Phone: (618) 992-2322
Fax: (618) 992-2345

The provider's authorized official is Lisa F Wharton .
The authorized official title is Owner/shareholder and has the following contact phone number (618) 889-3220.

The enumeration date for this NPI number is 11/6/2023 and was last updated on 11/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1053709519	MEDICAID	ILLINOIS
2	1790564383	MEDICAID	ILLINOIS
3	1548043946	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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