Wilson, Matthew P

Wilson, Matthew P is an individual health care provider with primary practice located at 6567 E Carondelet Dr Ste 305 , Tucson AZ 85710-2156. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Wilson, Matthew P can be contacted via phone (520) 881-8400.

Contact Information

Primary practice address
6567 E Carondelet Dr Ste 305 Tucson AZ 85710-2156
Fax: (520) 881-6563
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 33588 Arizona

Profile Details

NPI number 1225018096
LBN Legal business name Wilson, Matthew P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Oct 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225018096 NPPES
Arizona MEDICAID 951097

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