Wansa, William M

Wansa, William M is an individual health care provider with primary practice located at 250 Prospect Pl , Coronado CA 92118-1943. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Wansa, William M can be contacted via phone (619) 522-3722.

Contact Information

Primary practice address
250 Prospect Pl Coronado CA 92118-1943
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME0080374 Florida
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G50191 California

Profile Details

NPI number 1376596312
LBN Legal business name Wansa, William M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Aug 8th, 2011 - about 14 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 1376596312 NPPES
Florida MEDICAID 259748900

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