Wilson, David C

Wilson, David C is an individual health care provider with primary practice located at 820 E Grant St , Appleton WI 54911-3483. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Wilson, David C can be contacted via phone (920) 831-5050.

Contact Information

Primary practice address
820 E Grant St Appleton WI 54911-3483
Phone: (920) 831-5050
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 813-023 Wisconsin

Profile Details

NPI number 1518916352
LBN Legal business name Wilson, David C
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Feb 21st, 2022 - about 2 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 1518916352 NPPES
Wisconsin MEDICAID 1518916352

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