Wilson, Michael K.

Wilson, Michael K. is an individual health care provider with primary practice located at 71 Hospital Ave , North Adams MA 01247-2504. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Wilson, Michael K. can be contacted via phone (413) 664-5000.

Contact Information

Primary practice address
71 Hospital Ave North Adams MA 01247-2504
Phone: (413) 664-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 220691 Massachusetts
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 220691 Massachusetts

Profile Details

NPI number 1811974876
LBN Legal business name Wilson, Michael K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Sep 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811974876 NPPES
Vermont MEDICAID 1010747
Vermont MEDICAID 2076683

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