Wilson, Adam Abdul Alim

Wilson, Adam Abdul Alim is an sole proprietor health care provider with primary practice located at 600 East Blvd , Elkhart IN 46514-2483. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Wilson, Adam Abdul Alim can be contacted via phone (574) 524-8130.

Contact Information

Primary practice address
600 East Blvd Elkhart IN 46514-2483
Phone: (574) 524-8130
Fax: (574) 524-8138
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN. 325391 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 14336 NA Ohio

Profile Details

NPI number 1033167028
LBN Legal business name Wilson, Adam Abdul Alim
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2006
Last updated Jan 17th, 2024 - about 11 months 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1033167028 NPPES
Ohio MEDICAID 0083386
Ohio Other RN.325391

Popular Providers