Wilson, Alex

Wilson, Alex is an individual health care provider with primary practice located at 1921 Stonecipher Blvd , Ada OK 74820. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Wilson, Alex can be contacted via phone (580) 421-4570.

Contact Information

Primary practice address
1921 Stonecipher Blvd Ada OK 74820
Phone: (580) 421-4570
Fax: (580) 421-6283
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1058 Oklahoma

Profile Details

NPI number 1871551481
LBN Legal business name Wilson, Alex
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Sep 8th, 2016 - about 9 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 1871551481 NPPES
Oklahoma MEDICAID 100187660B

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