Wilson, Mark C
Wilson, Mark C is an individual health care provider with primary practice located at Children'S Hospital - Respiratory Medicine & Allergy 8200 Dodge Street, Omaha NE 68114-4113. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pediatric Pulmonology, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Wilson, Mark C can be contacted via phone (402) 955-5570.Contact Information
Primary practice address
Children'S Hospital - Respiratory Medicine & Allergy 8200 Dodge Street
Omaha NE 68114-4113
Phone: (402) 955-5570
Fax: (402) 955-5575
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sleep Medicine | 2080S0012X | 17658 | Nebraska |
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | 17658 | Nebraska |
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 17658 | Nebraska |
Profile Details
| NPI number | 1407808793 |
|---|---|
| LBN Legal business name | Wilson, Mark C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407808793 | NPPES |
| Iowa | MEDICAID | 1926246 | |
| Iowa | Other | 662 | |
| Iowa | Other | 94533 | |
| Iowa | MEDICAID | 7781510 | |
| Iowa | Other | 31219 |
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