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Dr. John A Wisman, D.C.

Chiropractor in Bellevue, WA. Individual provider (NPI-1).

NPI number1073550141
StatusActive
Last updated in NPPESApr 6, 2021

Details

NPI
1073550141
Entity type
Individual (NPI-1)
Name
Dr. John A Wisman
Credential
D.C.
Sex
Male
Sole proprietor
No
Enumeration date
May 31, 2006
Certification date
Apr 6, 2021
Last updated
Apr 6, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - CHIROPRACTIC
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor601 847 969WAYes

Practice location

1800 116th Ave Ne Ste 101
Bellevue, WA 98004-3043

Phone 425-637-0094 · Fax 425-453-8298

Mailing address

1800 116th Ave Ne Ste 101
Bellevue, WA 98004-3043

Phone 425-637-0094 · Fax 425-453-8298

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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