Wilson, Jared Paul

Wilson, Jared Paul is an individual health care provider with primary practice located at 7070 E Drive North , Battle Creek MI 49014-8562. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Wilson, Jared Paul can be contacted via phone (269) 660-1670.

Contact Information

Primary practice address
7070 E Drive North Battle Creek MI 49014-8562
Phone: (269) 660-1670
Fax: (269) 660-0666
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601004216 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 5601004216 Michigan

Profile Details

NPI number 1699868927
LBN Legal business name Wilson, Jared Paul
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2006
Last updated Mar 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 1699868927 NPPES
Michigan Other 5601004216 LICENSE, MICHIGAN

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