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:
Health care specialties
| Specialty | Code | License # | 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 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 | 1801854757 | NPPES |
| Texas | MEDICAID | 097356203 |
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