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:
Map and Directions
Authorized official contact:
Name: Wilson, Jacqueline S. Doctor of Medicine (MD)
Phone: (406) 586-7515

Health care specialties

SpecialtyCodeLicense #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 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194822049 NPPES
Montana Other 93296 BCBS
Montana MEDICAID 0152425 BCBS

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