Wilson, Brian J

Wilson, Brian J is an individual health care provider with primary practice located at 275 Ponahawai St Suite 106, Hilo HI 96720-3074. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Wilson, Brian J can be contacted via phone (808) 961-0022.

Contact Information

Primary practice address
275 Ponahawai St Suite 106 Hilo HI 96720-3074
Phone: (808) 961-0022
Fax: (808) 969-3852
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 4143 Hawaii

Profile Details

NPI number 1528018595
LBN Legal business name Wilson, Brian J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Jul 8th, 2007 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1528018595 NPPES
Hawaii MEDICAID 04734301

Popular Providers