Wilson, Jeromy Glenn

Wilson, Jeromy Glenn is an sole proprietor health care provider with primary practice located at 3520 W 92Nd Ave , Westminster CO 80031-3303. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Wilson, Jeromy Glenn can be contacted via phone (303) 429-6600.

Contact Information

Primary practice address
3520 W 92Nd Ave Westminster CO 80031-3303
Phone: (303) 429-6600
Fax: (303) 429-6601
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-2560 Colorado

Profile Details

NPI number 1033394150
LBN Legal business name Wilson, Jeromy Glenn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2008
Last updated Nov 16th, 2023 - about 2 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 1033394150 NPPES
Other 1080625 NCCPA

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