Wilson, Brian Guy

Wilson, Brian Guy is an individual health care provider with primary practice located at 2619 Centennial Blvd Ste 103 , Tallahassee FL 32308-0590. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy is his primary health care specialty. Wilson, Brian Guy can be contacted via phone (850) 656-7720.

Contact Information

Primary practice address
2619 Centennial Blvd Ste 103 Tallahassee FL 32308-0590
Phone: (850) 656-7720
Fax: (850) 656-7729
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X MD.15516R Louisiana
Allopathic & Osteopathic Physicians / Allergy & Immunology 207RA0201X ME82516 Florida

Profile Details

NPI number 1760433247
LBN Legal business name Wilson, Brian Guy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated May 2nd, 2011 - about 13 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 1760433247 NPPES
Florida MEDICAID 2622203

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