Wilson, Brian Claud
Wilson, Brian Claud is an sole proprietor health care provider with primary practice located at 197 S Herlong Ave , Rock Hill SC 29732-3427. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Wilson, Brian Claud can be contacted via phone (803) 366-9000.Contact Information
Primary practice address
197 S Herlong Ave
Rock Hill SC 29732-3427
Phone: (803) 366-9000
Fax: (803) 366-9200
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 15101 | South Carolina |
Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 39899 | North Carolina |
Profile Details
NPI number | 1669473237 |
---|---|
LBN Legal business name | Wilson, Brian Claud |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 9th, 2005 |
Last updated | May 27th, 2008 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1669473237 | NPPES |
South Carolina | MEDICAID | 151016 |
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