Wilson, Charles J

Wilson, Charles J is an individual health care provider with primary practice located at 1137 Ocean Springs Rd , Ocean Springs MS 39564-3421. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Wilson, Charles J can be contacted via phone (228) 875-8291.

Contact Information

Primary practice address
1137 Ocean Springs Rd Ocean Springs MS 39564-3421
Phone: (228) 875-8291
Fax: (877) 504-3044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 16578 Mississippi

Profile Details

NPI number 1558311431
LBN Legal business name Wilson, Charles J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Oct 5th, 2015 - about 10 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 1558311431 NPPES
Mississippi MEDICAID 0123305
Mississippi Other 203211285

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