Wilson, James
Wilson, James is an sole proprietor health care provider with primary practice located at 1679 Highway 243 South , Marianna AR 72360. He recently has only one registered license in Other Service Providers / Lodging, which is considered as his primary health care specialty. Wilson, James can be contacted via phone (870) 295-3557.Contact Information
Primary practice address
1679 Highway 243 South
Marianna AR 72360
Phone: (870) 295-3557
Fax: (870) 295-3686
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Lodging | 177F00000X | 101 | Arkansas |
Profile Details
| NPI number | 1063577682 |
|---|---|
| LBN Legal business name | Wilson, James |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 26th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1063577682 | NPPES |
| Arkansas | MEDICAID | 121812732 |
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