Wilson, Mark Matthew
Wilson, Mark Matthew is an individual health care provider with primary practice located at 1337 Centre Ct , Alexandria LA 71301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Wilson, Mark Matthew can be contacted via phone (318) 445-9331.Contact Information
Primary practice address
1337 Centre Ct
Alexandria LA 71301
Phone: (318) 445-9331
Fax: (318) 619-6899
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 019488 | Louisiana |
Profile Details
| NPI number | 1295728087 |
|---|---|
| LBN Legal business name | Wilson, Mark Matthew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 26th, 2005 |
| Last updated | Aug 27th, 2018 - about 7 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 | 1295728087 | NPPES |
| Louisiana | MEDICAID | 1934780 |
Popular Providers
-
Donelon, Shawn Elizabeth
1587 N Bolton Ave Suite 1100, Alexandria LA 71303-4205 -
Laurel, Edgardo
2545 E Thomas Rd Suite 120, Phoenix AZ 85016-7969 -
Soudan, Khaldoun
2220 Worley Dr , Alexandria LA 71301-3600 -
Lee, Sungchun
21410 N 19Th Ave Suite 131, Phoenix AZ 85027-2738 -
Aly, Aly E
3366 Nw Expressway Bldg D Suite 730, Oklahoma City OK 73112-4462 -
Palubiak, David J
2020 Riverside Dr Suite 200, Green Bay WI 54301-2300 -
Bennett, Robin Ray
201 4Th St Ste 5A , Alexandria LA 71301-8421 -
Gulati, Rajat
201 4Th St Ste 5A , Alexandria LA 71301-8421