Wilkerson, Myra L.

Wilkerson, Myra L. is an individual health care provider with primary practice located at 100 N Academy Ave , Danville PA 17822-0027. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Wilkerson, Myra L. can be contacted via phone (570) 271-6338.

Contact Information

Primary practice address
100 N Academy Ave Danville PA 17822-0027
Phone: (570) 271-6338
Fax: (570) 271-6105
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X MD060006L Pennsylvania
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD060006L Pennsylvania

Profile Details

NPI number 1104878578
LBN Legal business name Wilkerson, Myra L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Aug 5th, 2020 - about 4 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 1104878578 NPPES
Pennsylvania MEDICAID 001747485

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