Wilson, Anne Elizabeth

Wilson, Anne Elizabeth is an individual health care provider with primary practice located at 605 E University Ave , Urbana IL 61802-2029. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Wilson, Anne Elizabeth can be contacted via phone (217) 383-4070.

Contact Information

Primary practice address
605 E University Ave Urbana IL 61802-2029
Phone: (217) 383-4070
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X Illinois

Profile Details

NPI number 1619032844
LBN Legal business name Wilson, Anne Elizabeth
Credentials PHARM.D, PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated Jul 8th, 2007 - about 17 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 1619032844 NPPES
Illinois MEDICAID 371119538009

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