Wilson, John W

Wilson, John W is an individual health care provider with primary practice located at 2011 N Collins Blvd Suite 609, Richardson TX 75080-2645. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wilson, John W can be contacted via phone (972) 889-1194.

Contact Information

Primary practice address
2011 N Collins Blvd Suite 609 Richardson TX 75080-2645
Phone: (972) 889-1194
Fax: (972) 889-1425
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X E6952 Texas

Profile Details

NPI number 1801854757
LBN Legal business name Wilson, John W
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Dec 15th, 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 1801854757 NPPES
Texas MEDICAID 097356203

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