Wilson, John M.

Wilson, John M. is an individual health care provider with primary practice located at 3300 Rivermont Ave , Lynchburg VA 24503-2030. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Wilson, John M. can be contacted via phone (434) 200-5999.

Contact Information

Primary practice address
3300 Rivermont Ave Lynchburg VA 24503-2030
Phone: (434) 200-5999
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0101056617 Virginia

Profile Details

NPI number 1164423836
LBN Legal business name Wilson, John M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Mar 13th, 2008 - about 16 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 1164423836 NPPES
Virginia Other 186475 ANTHEM PROVIDER NUMBER
Virginia Other 239524 ANTHEM PROVIDER NUMBER
Virginia Other 2019602 ANTHEM PROVIDER NUMBER
Virginia Other O88170 ANTHEM PROVIDER NUMBER
Virginia Other 203639329001 ANTHEM PROVIDER NUMBER

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