Jacqueline S. Wilson, M.D., P.C.
LBN: Jacqueline S. Wilson, M.D., P.C.
Jacqueline S. Wilson, M.D., P.C. is an health care organization with primary practice located at 321 E Main St Suite 309, Bozeman MT 59715-6241. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty.
Jacqueline S. Wilson, M.D., P.C. can be contacted via phone (406) 586-7515, or through Wilson, Jacqueline S. via phone (406) 586-7515.
Contact Information
Primary practice address
321 E Main St Suite 309
Bozeman MT 59715-6241
Phone: (406) 586-7515
Fax: (406) 522-0481
Website:
Authorized official contact:
Name: Wilson, Jacqueline S. Doctor of Medicine (MD)
Phone: (406) 586-7515
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | 8315 | Montana |
Profile Details
| NPI number | 1194822049 |
|---|---|
| LBN Legal business name | Jacqueline S. Wilson, M.D., P.C. |
| DBA Doing business as | |
| Authorized official | Wilson, Jacqueline S. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Mar 17th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194822049 | NPPES |
| Montana | Other | 93296 | BCBS |
| Montana | MEDICAID | 0152425 | BCBS |
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