Wilson, Jon M
Wilson, Jon M is an individual health care provider with primary practice located at 615 N Zaragoza Rd , El Paso TX 79907-4773. He recently has 5 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Wilson, Jon M can be contacted via phone (985) 867-0301.Contact Information
Primary practice address
615 N Zaragoza Rd
El Paso TX 79907-4773
Phone: (985) 867-0301
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 3020 | Texas |
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | DPM.200036 | Louisiana |
| Podiatric Medicine & Surgery Service Providers / Sports Medicine | 213ES0000X | DPM.200036 | Louisiana |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | DPM.200036 | Louisiana |
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | DPM.200036 | Louisiana |
Profile Details
| NPI number | 1104970862 |
|---|---|
| LBN Legal business name | Wilson, Jon M |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Jun 10th, 2020 - about 4 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 | 1104970862 | NPPES |
| Louisiana | Other | DPM.200036 | LA STATE LICENSE |
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