Wilson, John

Wilson, John is an individual health care provider with primary practice located at 1130 E 32Nd St , Joplin MO 64804-4034. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Wilson, John can be contacted via phone (417) 347-2273.

Contact Information

Primary practice address
1130 E 32Nd St Joplin MO 64804-4034
Phone: (417) 347-2273
Fax: (417) 347-2277
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01036901A Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2013021433 Missouri

Profile Details

NPI number 1639142151
LBN Legal business name Wilson, John
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Oct 27th, 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 1639142151 NPPES
Indiana MEDICAID 100336610

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