Coudon, Wilson
Coudon, Wilson is an individual health care provider with primary practice located at 1400 S Joyce St Suite 126, Arlington VA 22202-1872. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Coudon, Wilson can be contacted via phone (703) 521-6662.Contact Information
Primary practice address
1400 S Joyce St Suite 126
Arlington VA 22202-1872
Phone: (703) 521-6662
Fax: (703) 521-5991
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 0101020537 | Virginia |
Profile Details
| NPI number | 1689667917 |
|---|---|
| LBN Legal business name | Coudon, Wilson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Sep 10th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689667917 | NPPES |
| Virginia | MEDICAID | 6096174 |
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