Wilson, Edward

Wilson, Edward is an individual health care provider with primary practice located at 217 S 3Rd St , Danville KY 40422-1823. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Wilson, Edward can be contacted via phone (859) 335-9041.

Contact Information

Primary practice address
217 S 3Rd St Danville KY 40422-1823
Phone: (859) 335-9041
Fax: (859) 335-9072
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 29208 Kentucky

Profile Details

NPI number 1760405419
LBN Legal business name Wilson, Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760405419 NPPES
Kentucky Other 1141359 PASSPORT
Kentucky Other P002985345 PASSPORT
Kentucky Other 000000208969 PASSPORT
Kentucky Other C48254 PASSPORT
Kentucky MEDICAID 64292089 PASSPORT

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