Wilson, Laura Beth

Wilson, Laura Beth is an sole proprietor health care provider with primary practice located at 8765 S Hill Rd , Holland Patent NY 13354-4050. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Wilson, Laura Beth can be contacted via phone (315) 827-4902.

Contact Information

Primary practice address
8765 S Hill Rd Holland Patent NY 13354-4050
Phone: (315) 827-4902
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 269733-1 New York

Profile Details

NPI number 1770765331
LBN Legal business name Wilson, Laura Beth
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2007
Last updated Dec 5th, 2007 - about 18 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 1770765331 NPPES
New York MEDICAID 02899558

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