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NPI 1861651663

IndividualActive

Jason Wilson, L.AC. M.S.O.M.

NPI 1861651663 · Acupuncturist · Dyer, IN

Provider details

NPI number: 1861651663
Entity type: Individual
Primary specialty: AcupuncturistOther Service Providers
Credential: L.AC. M.S.O.M.
Sex: Male
Sole proprietor: No
License: 198.000780 (IL)

Practice location

14785 W 101st Ave # 101

Dyer, IN 46311-3371

Phone: (219) 689-5563

Fax: (219) 979-5253

More IN providers

Mailing address

14785 W 101st Ave # 101

Dyer, IN 46311-3371

Registry dates

Enumerated: 2008-06-05
Last updated: 2021-11-18

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Jason Wilson, L.AC. M.S.O.M. — NPI 1861651663, Dyer, IN | NPI Central