Wilson, Beverly N

Wilson, Beverly N is an individual health care provider with primary practice located at 12038 Ocean Gateway Unit 1, Ocean City MD 21842. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Wilson, Beverly N can be contacted via phone (410) 390-3341.

Contact Information

Primary practice address
12038 Ocean Gateway Unit 1 Ocean City MD 21842
Phone: (410) 390-3341
Fax: (410) 390-3618
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X C0006301 Maryland

Profile Details

NPI number 1023552817
LBN Legal business name Wilson, Beverly N
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2016
Last updated Sep 11th, 2019 - about 5 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 1023552817 NPPES
Maryland Other C0006301 MEDICAL LICENSE

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