Wilson, John Wells
Wilson, John Wells is an sole proprietor health care provider with primary practice located at 188 Hospital Dr Ste 205 , Fairhope AL 36532-2038. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Wilson, John Wells can be contacted via phone (251) 990-9191.Contact Information
Primary practice address
188 Hospital Dr Ste 205
Fairhope AL 36532-2038
Phone: (251) 990-9191
Fax: (251) 990-9189
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 25140 | Alabama |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 12762 | Mississippi |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 25140 | Alabama |
Profile Details
| NPI number | 1982790010 |
|---|---|
| LBN Legal business name | Wilson, John Wells |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 2006 |
| Last updated | May 17th, 2022 - about 3 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 | 1982790010 | NPPES |
| Alabama | MEDICAID | 009911601 | |
| Alabama | MEDICAID | 00016861 |
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