Wilson, Daniel

Wilson, Daniel is an individual health care provider with primary practice located at 130 Fisher Rd , Berlin VT 05602-9516. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Wilson, Daniel can be contacted via phone (802) 371-4100.

Contact Information

Primary practice address
130 Fisher Rd Berlin VT 05602-9516
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 032-0000500 Vermont

Profile Details

NPI number 1437179074
LBN Legal business name Wilson, Daniel
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jun 18th, 2011 - about 13 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 1437179074 NPPES
Vermont MEDICAID OVN2743

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