Wilson, David P
Wilson, David P is an individual health care provider with primary practice located at 11219 N Highway 3 , Fort Jones CA 96032-9731. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Wilson, David P can be contacted via phone (530) 468-5766.Contact Information
Primary practice address
11219 N Highway 3
Fort Jones CA 96032-9731
Phone: (530) 468-5766
Fax: (530) 842-9054
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G37216 | California |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | G37216 | California |
Profile Details
| NPI number | 1801891130 |
|---|---|
| LBN Legal business name | Wilson, David P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2005 |
| Last updated | Jan 20th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801891130 | NPPES |
| California | MEDICAID | 00G72161 | |
| California | MEDICAID | 00G372162 | |
| California | Other | G37216 |
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