Wilson, Carl
Wilson, Carl is an individual health care provider with primary practice located at 435 Doyle Park Dr , Santa Rosa CA 95405-4515. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Wilson, Carl can be contacted via phone (707) 527-9510.Contact Information
Primary practice address
435 Doyle Park Dr
Santa Rosa CA 95405-4515
Phone: (707) 527-9510
Fax: (707) 527-1306
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | G44318 | California |
Profile Details
NPI number | 1033110465 |
---|---|
LBN Legal business name | Wilson, Carl |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 9th, 2005 |
Last updated | Jul 25th, 2017 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1033110465 | NPPES |
California | MEDICAID | 00G443180 |
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