Wilson, Louis
Wilson, Louis is an individual health care provider with primary practice located at 8300 Constitution Ave Ne , Albuquerque NM 87110-7613. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Wilson, Louis can be contacted via phone (505) 291-2134.Contact Information
Primary practice address
8300 Constitution Ave Ne
Albuquerque NM 87110-7613
Phone: (505) 291-2134
Fax: (505) 291-2967
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1319 | New Mexico |
Profile Details
| NPI number | 1144201633 |
|---|---|
| LBN Legal business name | Wilson, Louis |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2005 |
| Last updated | May 2nd, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144201633 | NPPES |
| New Mexico | MEDICAID | 000A3425 |
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