Wilson, Gregory J

Wilson, Gregory J is an individual health care provider with primary practice located at 2505 Green Tech Dr Ste C , State College PA 16803-2316. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Wilson, Gregory J can be contacted via phone (814) 235-0484.

Contact Information

Primary practice address
2505 Green Tech Dr Ste C State College PA 16803-2316
Phone: (814) 235-0484
Fax: (814) 234-7587
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS-013257 Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2010015957 Missouri
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X OS013257 Pennsylvania
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X O-0777 Idaho

Profile Details

NPI number 1669406799
LBN Legal business name Wilson, Gregory J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jun 7th, 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 1669406799 NPPES
Idaho MEDICAID 1669406799
Idaho MEDICAID 101334728
Idaho MEDICAID 1013347280004

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