Wilson, Harold T
Wilson, Harold T is an individual health care provider with primary practice located at 16063 Vanowen St , Van Nuys CA 91406-4810. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Wilson, Harold T can be contacted via phone (818) 785-9989.Contact Information
Primary practice address
16063 Vanowen St
Van Nuys CA 91406-4810
Phone: (818) 785-9989
Fax: (818) 785-3330
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A 38694 | California |
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 9701199 | North Carolina |
Profile Details
NPI number | 1619960457 |
---|---|
LBN Legal business name | Wilson, Harold T |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 26th, 2005 |
Last updated | Oct 3rd, 2013 - about 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1619960457 | NPPES |
Other | 1619960457 | TRICARE | |
MEDICAID | 5910044 | TRICARE | |
MEDICAID | 1619960457 | TRICARE |
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