Wilson, Mark R

Wilson, Mark R is an sole proprietor health care provider with primary practice located at 11573 Los Osos Valley Rd Ste H , San Luis Obispo CA 93405-6497. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Wilson, Mark R can be contacted via phone (805) 439-0044.

Contact Information

Primary practice address
11573 Los Osos Valley Rd Ste H San Luis Obispo CA 93405-6497
Phone: (805) 439-0044
Fax: (805) 439-0779
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 005109 California

Profile Details

NPI number 1013076405
LBN Legal business name Wilson, Mark R
Credentials Q.M.E., O.M.D., LAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2006
Last updated Mar 28th, 2023 - about last year

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.

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