Wilson, Brian

Wilson, Brian is an individual health care provider with primary practice located at 3501 Health Center Blvd , Estero FL 34135-8127. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wilson, Brian can be contacted via phone (239) 949-1050.

Contact Information

Primary practice address
3501 Health Center Blvd Estero FL 34135-8127
Phone: (239) 949-1050
Fax: (239) 949-6111
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME99039 Florida

Profile Details

NPI number 1124059803
LBN Legal business name Wilson, Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Mar 30th, 2021 - 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 1124059803 NPPES
Florida MEDICAID 003810300

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