Wilson, Carole
Wilson, Carole is an individual health care provider with primary practice located at 1130 N Baldwin Ave , Marion IN 46952-2536. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Wilson, Carole can be contacted via phone (765) 660-7480.Contact Information
Primary practice address
1130 N Baldwin Ave
Marion IN 46952-2536
Phone: (765) 660-7480
Fax: (765) 382-4495
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71001615 | Indiana |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71001615A | Indiana |
Profile Details
NPI number | 1093820896 |
---|---|
LBN Legal business name | Wilson, Carole |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 20th, 2006 |
Last updated | Jan 15th, 2019 - about 5 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 | 1093820896 | NPPES |
Indiana | MEDICAID | 200487860 |
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