Wilson, Gregory A

Wilson, Gregory A is an individual health care provider with primary practice located at 705 Riley Hospital Dr Ri 1601, Indianapolis IN 46202-5109. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Wilson, Gregory A can be contacted via phone (317) 944-4842.

Contact Information

Primary practice address
705 Riley Hospital Dr Ri 1601 Indianapolis IN 46202-5109
Phone: (317) 944-4842
Fax: (317) 948-0126
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01027271A Indiana
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 01027271 Indiana

Profile Details

NPI number 1700835253
LBN Legal business name Wilson, Gregory A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Feb 25th, 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 1700835253 NPPES
Kentucky MEDICAID 64879984
Kentucky MEDICAID 100062460

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