Wilson, Justin Andrew

Wilson, Justin Andrew is an individual health care provider with primary practice located at 1St Marine Special Operations Battalion Medical Department, Camp Pendleton CA 92055-5341. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Wilson, Justin Andrew can be contacted via phone (760) 725-5298.

Contact Information

Primary practice address
1St Marine Special Operations Battalion Medical Department Camp Pendleton CA 92055-5341
Phone: (760) 725-5298
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1316249493
LBN Legal business name Wilson, Justin Andrew
Credentials SOIDC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2010
Last updated Nov 23rd, 2010 - about 14 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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