Wilson, Glenn L

Wilson, Glenn L is an sole proprietor health care provider with primary practice located at 100 Medical Center Dr. Suite 101, Gadsden AL 35903-1130. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Wilson, Glenn L can be contacted via phone (256) 492-8590.

Contact Information

Primary practice address
100 Medical Center Dr. Suite 101 Gadsden AL 35903-1130
Fax: (256) 492-4498
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD28405 Alabama
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 28405 North Carolina

Profile Details

NPI number 1750479754
LBN Legal business name Wilson, Glenn L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2006
Last updated Jul 19th, 2023 - about last year

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 1750479754 NPPES
Alabama MEDICAID 131368

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