Wilson, Mark H
Wilson, Mark H is an individual health care provider with primary practice located at 1076 W Chandler Blvd Ste 113, Chandler AZ 85224-5225. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wilson, Mark H can be contacted via phone (480) 963-9334.Contact Information
Primary practice address
1076 W Chandler Blvd Ste 113
Chandler AZ 85224-5225
Phone: (480) 963-9334
Fax: (480) 963-0444
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 13278 | Arizona |
Profile Details
| NPI number | 1609873330 |
|---|---|
| LBN Legal business name | Wilson, Mark H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | May 27th, 2008 - about 16 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 | 1609873330 | NPPES |
| Arizona | MEDICAID | 251166 | |
| Arizona | Other | AZ0039000 |
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