Wilson, Michele J

Wilson, Michele J is an sole proprietor health care provider with primary practice located at 7722 Maple Rd , Baldwinsville NY 13027-8104. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Wilson, Michele J can be contacted via phone (315) 638-3522.

Contact Information

Primary practice address
7722 Maple Rd Baldwinsville NY 13027-8104
Phone: (315) 638-3522
Fax: (315) 638-3522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 260778-1 New York

Profile Details

NPI number 1760653018
LBN Legal business name Wilson, Michele J
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2008
Last updated Mar 14th, 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 1760653018 NPPES
New York MEDICAID 02898180

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