Wilson, Douglas Richard
Wilson, Douglas Richard is an individual health care provider with primary practice located at 1141 Pear Tree Lane Suite 100, Napa CA 94558-6485. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Wilson, Douglas Richard can be contacted via phone (707) 254-1770.Contact Information
Primary practice address
1141 Pear Tree Lane Suite 100
Napa CA 94558-6485
Phone: (707) 254-1770
Fax: (707) 254-1779
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207QH0002X | A71642 | California |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A71642 | California |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A71642 | California |
Profile Details
NPI number | 1285693572 |
---|---|
LBN Legal business name | Wilson, Douglas Richard |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 23rd, 2006 |
Last updated | Nov 11th, 2021 - about 3 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 | 1285693572 | NPPES |
California | MEDICAID | 00A716420 |
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