Dr. Leroy Glenn Wilson , DC
Chiropractor • Lees Summit, MO
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Leroy Wilson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Leroy Wilson, DC was a registered Chiropractor practicing in Lees Summit, MO. Throughout an active medical career spanning 14 years, Dr. Wilson provided care at the practice location at 105 SE 3RD ST until profile deactivation on 2020-03-16.
Practice Location & Contact Primary Location
105 Se 3rd St
Lees Summit, MO 640632719
Specialty Benchmarks & Practice Insights
Comparative analytics for Chiropractor in Lees Summit, MO
Practicing in Lees Summit, MO (2674 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 111N00000X
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 16, 2020
NPI status registered as active in NPPES database
Registered at 105 SE 3RD ST, LEES SUMMIT, MO 640632719 (Tel: 8165245335)
Registered at 105 SE 3RD ST, LEES SUMMIT, MO 640632719 (Tel: 8165245335)
Recorded as LEROY WILSON, DC
Chiropractor (License #003294 in MO)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
105 Se 3rd St
Lees Summit, MO 640632719
Phone: 8165245335
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