Wilson, John David
Wilson, John David is an sole proprietor health care provider with primary practice located at 1200 Hilyard St Suite S-560, Eugene OR 97401-8122. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Wilson, John David can be contacted via phone (541) 343-6028.Contact Information
Primary practice address
1200 Hilyard St Suite S-560
Eugene OR 97401-8122
Phone: (541) 343-6028
Fax: (541) 485-7702
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | MD10554 | Oregon |
Profile Details
NPI number | 1972676153 |
---|---|
LBN Legal business name | Wilson, John David |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 16th, 2006 |
Last updated | Jul 9th, 2007 - about 17 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 | 1972676153 | NPPES |
Oregon | MEDICAID | 242248 |
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