Wilson, John David

Wilson, John David is an individual health care provider with primary practice located at 931 Pennsylvania Ave Ottumwa Pediatrics, Ottumwa IA 52501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Wilson, John David can be contacted via phone (641) 684-3000.

Contact Information

Primary practice address
931 Pennsylvania Ave Ottumwa Pediatrics Ottumwa IA 52501
Phone: (641) 684-3000
Fax: (641) 684-2469
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 36914 Iowa

Profile Details

NPI number 1235138801
LBN Legal business name Wilson, John David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Oct 24th, 2007 - about 18 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 1235138801 NPPES
Iowa Other 28375 BCBS OF IA
Iowa MEDICAID 0000576001 BCBS OF IA
Iowa Other JA0171 BCBS OF IA
Iowa MEDICAID 0746719 BCBS OF IA

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