Wilson, Christopher M.

Wilson, Christopher M. is an individual health care provider with primary practice located at 2449 Hospital Dr Suite 280, Bossier City LA 71111-2399. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Wilson, Christopher M. can be contacted via phone (318) 841-4004.

Contact Information

Primary practice address
2449 Hospital Dr Suite 280 Bossier City LA 71111-2399
Phone: (318) 841-4004
Fax: (318) 841-4008
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 200947 Louisiana

Profile Details

NPI number 1760691752
LBN Legal business name Wilson, Christopher M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Jun 16th, 2021 - about 3 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 1760691752 NPPES
Louisiana Other 4P065 MEDICARE PTAN
Louisiana MEDICAID 1092100 MEDICARE PTAN

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