Wilson, Joseph Nathan

Wilson, Joseph Nathan is an individual health care provider with primary practice located at 301 Utica Ave , Lubbock TX 79416-3111. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Wilson, Joseph Nathan can be contacted via phone (806) 797-4985.

Contact Information

Primary practice address
301 Utica Ave Lubbock TX 79416-3111
Phone: (806) 797-4985
Fax: (806) 792-8588
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X H7849 Texas

Profile Details

NPI number 1306840947
LBN Legal business name Wilson, Joseph Nathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Feb 10th, 2022 - about 2 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 1306840947 NPPES
Texas MEDICAID 126414505

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