Wilson, Elizabeth T

Wilson, Elizabeth T is an individual health care provider with primary practice located at 56 Thomas Johnson Dr , Frederick MD 21702-4599. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Wilson, Elizabeth T can be contacted via phone (301) 694-3111.

Contact Information

Primary practice address
56 Thomas Johnson Dr Frederick MD 21702-4599
Phone: (301) 694-3111
Fax: (301) 694-8626
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X C0002912 Maryland

Profile Details

NPI number 1457405615
LBN Legal business name Wilson, Elizabeth T
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Aug 2nd, 2016 - about 8 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 1457405615 NPPES
Maryland MEDICAID 926580503
Maryland MEDICAID 926580505

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