Wilson, Elizabeth K

Wilson, Elizabeth K is an individual health care provider with primary practice located at 3011 N Lincoln Rd , Escanaba MI 49829-9312. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wilson, Elizabeth K can be contacted via phone (906) 786-6488.

Contact Information

Primary practice address
3011 N Lincoln Rd Escanaba MI 49829-9312
Fax: (906) 786-6409
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101009011 Michigan

Profile Details

NPI number 1144214842
LBN Legal business name Wilson, Elizabeth K
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Feb 2nd, 2011 - about 13 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 1144214842 NPPES
Michigan Other 080052892 RAILROAD MEDICARE
Michigan MEDICAID 2966412 RAILROAD MEDICARE

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