Wilson, Christopher Allen

Wilson, Christopher Allen is an individual health care provider with primary practice located at 1600 N. Grand Ave. Ste 260, Pueblo CO 81003-2729. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Wilson, Christopher Allen can be contacted via phone (719) 562-2010.

Contact Information

Primary practice address
1600 N. Grand Ave. Ste 260 Pueblo CO 81003-2729
Phone: (719) 562-2010
Fax: (719) 562-2097
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 31499 Colorado
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X DR.0031499 Colorado

Profile Details

NPI number 1295797413
LBN Legal business name Wilson, Christopher Allen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated Aug 31st, 2016 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295797413 NPPES
Colorado MEDICAID 01314996

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