Wilson, Jeffrey

Wilson, Jeffrey is an individual health care provider with primary practice located at 725 Reservoir Ave Suite 102, Cranston RI 02910-4448. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wilson, Jeffrey can be contacted via phone (401) 943-6910.

Contact Information

Primary practice address
725 Reservoir Ave Suite 102 Cranston RI 02910-4448
Phone: (401) 943-6910
Fax: (401) 946-5130
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 10483 Rhode Island

Profile Details

NPI number 1134113749
LBN Legal business name Wilson, Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Apr 11th, 2016 - about 10 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 1134113749 NPPES
Rhode Island Other 104830 TUFTS
Rhode Island Other 0102498 TUFTS
Rhode Island Other 409056 TUFTS
Rhode Island Other 23507-1 TUFTS
Rhode Island Other 62308 TUFTS

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