Wilson, E Joan
Wilson, E Joan is an sole proprietor health care provider with primary practice located at 12000 Stone Lake Road , Dulce NM 87528. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Illustration, Medical, which is considered as her primary health care specialty. Wilson, E Joan can be contacted via phone (505) 759-7238.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Illustration, Medical | 246ZI1000X | 9905528 | Kansas |
Profile Details
| NPI number | 1043479330 |
|---|---|
| LBN Legal business name | Wilson, E Joan |
| Credentials | Clinical Laboratory Specialist (CLS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2008 |
| Last updated | Jun 4th, 2008 - about 16 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 | 1043479330 | NPPES |
| New Mexico | MEDICAID | 000K3526 | |
| New Mexico | Other | HSZ196 |
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