Wilson, Dwayne
Wilson, Dwayne is an sole proprietor health care provider with primary practice located at 2454 Camp Travis , Fort Sam Houston TX 78234-7671. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Aerospace Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Wilson, Dwayne can be contacted via phone (401) 419-6040.Contact Information
Primary practice address
2454 Camp Travis
Fort Sam Houston TX 78234-7671
Phone: (401) 419-6040
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 210137 | New York |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 037212 | Connecticut |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 11620 | Rhode Island |
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 210137 | New York |
| Allopathic & Osteopathic Physicians / Aerospace Medicine | 2083A0100X | 210137 | New York |
Profile Details
| NPI number | 1578587341 |
|---|---|
| LBN Legal business name | Wilson, Dwayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Aug 7th, 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.
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