Wilson, Byron Eric

Wilson, Byron Eric is an individual health care provider with primary practice located at 20055 Lake Chabot Rd #130, Castro Valley CA 94546. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Wilson, Byron Eric can be contacted via phone (510) 888-0657.

Contact Information

Primary practice address
20055 Lake Chabot Rd #130 Castro Valley CA 94546
Phone: (510) 888-0657
Fax: (510) 886-4532
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X G72444 California
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X G72444 California

Profile Details

NPI number 1992736367
LBN Legal business name Wilson, Byron Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Aug 21st, 2018 - about 6 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 1992736367 NPPES
Other 900002477 RAILROAD MEDICARE
MEDICAID 00G724440 RAILROAD MEDICARE

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