Wilson, Judith H

Wilson, Judith H is an individual health care provider with primary practice located at 1100 Hollenback Ln , Deer Lodge MT 59722. She recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as her primary health care specialty. Wilson, Judith H can be contacted via phone (406) 846-2212.

Contact Information

Primary practice address
1100 Hollenback Ln Deer Lodge MT 59722
Phone: (406) 846-2212
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 4610 Montana

Profile Details

NPI number 1164453932
LBN Legal business name Wilson, Judith H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Sep 8th, 2020 - about 5 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 1164453932 NPPES
Montana Other 92501 BCBS
Montana MEDICAID 28220 BCBS

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