Wilson, James T

Wilson, James T is an individual health care provider with primary practice located at 102 Highland Ave Se Suite 104, Roanoke VA 24013-2256. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as his primary health care specialty. Wilson, James T can be contacted via phone (540) 985-8454.

Contact Information

Primary practice address
102 Highland Ave Se Suite 104 Roanoke VA 24013-2256
Phone: (540) 985-8454
Fax: (540) 985-8345
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 0101034644 Virginia

Profile Details

NPI number 1326090739
LBN Legal business name Wilson, James T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Nov 19th, 2021 - about 4 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 1326090739 NPPES
Virginia MEDICAID 006199712

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