Wilson, James David

Wilson, James David is an individual health care provider with primary practice located at 350 Hospital Way Suite 100, Somerset KY 42503-2872. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wilson, James David can be contacted via phone (606) 451-2662.

Contact Information

Primary practice address
350 Hospital Way Suite 100 Somerset KY 42503-2872
Phone: (606) 451-2662
Fax: (606) 451-2641
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 28922 Kentucky

Profile Details

NPI number 1225002561
LBN Legal business name Wilson, James David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Apr 20th, 2008 - about 16 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 1225002561 NPPES
Other 1183698 CHA
MEDICAID 64289226 CHA
Other 5125851 CHA
Other C92457 CHA
Other 000000054066 CHA
Other 5012148 CHA

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