Wilson, Eric P

Wilson, Eric P is an individual health care provider with primary practice located at 600 Commerce Blvd , Stroudsburg PA 18360-6214. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Wilson, Eric P can be contacted via phone (570) 426-2960.

Contact Information

Primary practice address
600 Commerce Blvd Stroudsburg PA 18360-6214
Phone: (570) 426-2960
Fax: (570) 426-2965
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD050400L Pennsylvania

Profile Details

NPI number 1114927597
LBN Legal business name Wilson, Eric P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2005
Last updated Sep 5th, 2019 - about 6 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 1114927597 NPPES
Other 040962PZP MEDICARE
MEDICAID 0018144070004 MEDICARE

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