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
Fax: (803) 366-9200
Website:

Health care specialties

SpecialtyCodeLicense #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 16 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 1669473237 NPPES
South Carolina MEDICAID 151016

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