Wilson, Cary B

Wilson, Cary B is an individual health care provider with primary practice located at 5900 State Farm Dr Ste 200 , Rohnert Park CA 94928-2149. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Wilson, Cary B can be contacted via phone (707) 559-7500.

Contact Information

Primary practice address
5900 State Farm Dr Ste 200 Rohnert Park CA 94928-2149
Phone: (707) 559-7500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 487 Montana

Profile Details

NPI number 1700067378
LBN Legal business name Wilson, Cary B
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2007
Last updated Jan 30th, 2024 - about last year

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 1700067378 NPPES
Montana MEDICAID 1700067378

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