Wilson, David Randall
Wilson, David Randall is an individual health care provider with primary practice located at 150 Gilbreath Dr Suite 201, Oneonta AL 35121-2827. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wilson, David Randall can be contacted via phone (205) 274-8198.Contact Information
Primary practice address
150 Gilbreath Dr Suite 201
Oneonta AL 35121-2827
Phone: (205) 274-8198
Fax: (205) 274-8197
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 9528 | Alabama |
Profile Details
NPI number | 1982795761 |
---|---|
LBN Legal business name | Wilson, David Randall |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 27th, 2006 |
Last updated | Dec 16th, 2010 - about 14 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 | 1982795761 | NPPES |
Alabama | MEDICAID | 541387305 | |
Alabama | MEDICAID | 000085127 |
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