Wilson, Edward
Wilson, Edward is an sole proprietor health care provider with primary practice located at 1955 Coffeen Ave , Sheridan WY 82801-5713. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wilson, Edward can be contacted via phone (307) 672-0773.Contact Information
Primary practice address
1955 Coffeen Ave
Sheridan WY 82801-5713
Phone: (307) 672-0773
Fax: (307) 672-2739
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 6604A | Wyoming |
Profile Details
| NPI number | 1447336680 |
|---|---|
| LBN Legal business name | Wilson, Edward |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2006 |
| Last updated | Jul 8th, 2008 - about 17 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 | 1447336680 | NPPES |
| Wyoming | MEDICAID | 119617100 |
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