Wilson, Laurie Ann
Wilson, Laurie Ann is an sole proprietor health care provider with primary practice located at 100 Brewster Blvd Naval Hospital, Camp Lejeune NC 28547-2538. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Wilson, Laurie Ann can be contacted via phone (910) 450-4159.Contact Information
Primary practice address
100 Brewster Blvd Naval Hospital
Camp Lejeune NC 28547-2538
Phone: (910) 450-4159
Fax: (910) 450-4194
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | P10647 | North Carolina |
Profile Details
| NPI number | 1427195569 |
|---|---|
| LBN Legal business name | Wilson, Laurie Ann |
| Credentials | PT, DPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Aug 13th, 2012 - about 12 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 | 1427195569 | NPPES |
| North Carolina | Other | 068TT | BCBS |
| North Carolina | MEDICAID | 7212172 | BCBS |
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