Wilson, George Andrew

Wilson, George Andrew is an sole proprietor health care provider with primary practice located at 1530 N 7Th St Suite 107, Terre Haute IN 47807-1057. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurological Surgery. Allopathic & Osteopathic Physicians / Neurological Surgery is his primary health care specialty. Wilson, George Andrew can be contacted via phone (812) 238-4900.

Contact Information

Primary practice address
1530 N 7Th St Suite 107 Terre Haute IN 47807-1057
Phone: (812) 238-4900
Fax: (812) 238-4921
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 01057579A Indiana
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 01057579A Indiana

Profile Details

NPI number 1982680419
LBN Legal business name Wilson, George Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2005
Last updated Aug 23rd, 2019 - about 7 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 1982680419 NPPES
Indiana Other 000000295844 BLUE CROSS
Indiana MEDICAID 200452000A BLUE CROSS
Indiana Other 000000295844 BLUE CROSS
Indiana Other 000000295844 BLUE CROSS
Indiana Other P00058804 BLUE CROSS
Indiana Other ICHIA BLUE CROSS

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