Mike Scott Wasilisin
Rehabilitation Chiropractor
444 W C St
San Diego
, California 92101-3533
Mike Scott Wasilisin
Rehabilitation Chiropractor
444 W C St
San Diego
, California 92101-3533
(760) 603-7997
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About
Features
Specialties
- Rehabilitation Chiropractor
Languages spoken
- English
Location
First Address
- Mike Scott Wasilisin
- 6215 El Camino Real Suite 100
- Carlsbad, CA
- Zip : 92009-1604
- Fax : (760) 603-7997
- Phone : (760) 603-7900
Second Address
- Mike Scott Wasilisin
- 444 W C St
- San Diego, CA
- Zip : 92101-3533
- Fax : (619) 232-4255
- Phone : (619) 232-4030
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NR0400X | Rehabilitation Chiropractor | 31327 | CA |
National Provider Identifier
| NPI | 1194956102 |
|---|---|
| Provider Name | Mike Scott Wasilisin |
| First Address | Carlsbad, CA 92009-1604 |
| Second Address | San Diego, CA 92101-3533 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/08/2009 |
| Last Update Date | 07/08/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.