Wilson, Callie

Wilson, Callie is an individual health care provider with primary practice located at 412 Lilly Rd Ne , Olympia WA 98506-5132. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Wilson, Callie can be contacted via phone (360) 786-5581.

Contact Information

Primary practice address
412 Lilly Rd Ne Olympia WA 98506-5132
Phone: (360) 786-5581
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP30000546 Washington

Profile Details

NPI number 1578784385
LBN Legal business name Wilson, Callie
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Jul 18th, 2007 - about 18 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 1578784385 NPPES
Washington MEDICAID DSHS9600255

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