Wilson, Christal G

Wilson, Christal G is an individual health care provider with primary practice located at 1331 N Fairfield Rd , Beavercreek OH 45432-2643. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wilson, Christal G can be contacted via phone (866) 389-2727.

Contact Information

Primary practice address
1331 N Fairfield Rd Beavercreek OH 45432-2643
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.11384 Ohio

Profile Details

NPI number 1184948192
LBN Legal business name Wilson, Christal G
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2010
Last updated Feb 19th, 2024 - about 9 months 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 1184948192 NPPES
Ohio MEDICAID 3038402

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