Redka, James Wilson

Redka, James Wilson is an sole proprietor health care provider with primary practice located at 1205 River Ave 2Nd Floor, Williamsport PA 17701-3724. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Redka, James Wilson can be contacted via phone (570) 326-4118.

Contact Information

Primary practice address
1205 River Ave 2Nd Floor Williamsport PA 17701-3724
Phone: (570) 326-4118
Fax: (570) 326-5533
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD019269E Pennsylvania

Profile Details

NPI number 1548240773
LBN Legal business name Redka, James Wilson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2006
Last updated Dec 23rd, 2015 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548240773 NPPES
Pennsylvania MEDICAID 0006326330001

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