Wilson, Brian G.

Wilson, Brian G. is an individual health care provider with primary practice located at 123 W Germantown Pike Suite 2, East Norriton PA 19401-1382. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Wilson, Brian G. can be contacted via phone (610) 278-7456.

Contact Information

Primary practice address
123 W Germantown Pike Suite 2 East Norriton PA 19401-1382
Phone: (610) 278-7456
Fax: (610) 278-7457
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD067812L Pennsylvania

Profile Details

NPI number 1174537765
LBN Legal business name Wilson, Brian G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Feb 10th, 2015 - about 9 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 1174537765 NPPES
Pennsylvania MEDICAID 19007660001

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