Wilson, David B

Wilson, David B is an individual health care provider with primary practice located at 120 Irmc Dr Suite 160, Indiana PA 15701-3674. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Wilson, David B can be contacted via phone (724) 465-2676.

Contact Information

Primary practice address
120 Irmc Dr Suite 160 Indiana PA 15701-3674
Phone: (724) 465-2676
Fax: (724) 349-1830
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X MD065847L Pennsylvania

Profile Details

NPI number 1386604072
LBN Legal business name Wilson, David B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated Oct 1st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386604072 NPPES
Pennsylvania MEDICAID 0017454620003
Pennsylvania Other CI1160

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