Wilson, Jessica
Wilson, Jessica is an individual health care provider with primary practice located at 109 Plaza Dr , Saint Clairsville OH 43950-7713. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wilson, Jessica can be contacted via phone (740) 695-2090.Contact Information
Primary practice address
109 Plaza Dr
Saint Clairsville OH 43950-7713
Phone: (740) 695-2090
Fax: (740) 695-4116
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34012758 | Ohio |
Profile Details
| NPI number | 1073924742 |
|---|---|
| LBN Legal business name | Wilson, Jessica |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2014 |
| Last updated | Jan 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073924742 | NPPES |
| Ohio | MEDICAID | 0219742 |
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