Wilson, Cody R
Wilson, Cody R is an individual health care provider with primary practice located at 2380 N 400 E Ste C , North Logan UT 84341-1756. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Wilson, Cody R can be contacted via phone (435) 753-7337.Contact Information
Primary practice address
2380 N 400 E Ste C
North Logan UT 84341-1756
Phone: (435) 753-7337
Fax: (435) 750-6779
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 8849510-1204 | Utah |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 6025 | Nebraska |
Profile Details
| NPI number | 1619202108 |
|---|---|
| LBN Legal business name | Wilson, Cody R |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2009 |
| Last updated | Oct 2nd, 2019 - about 5 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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