Wilson, Morgan

Wilson, Morgan is an individual health care provider with primary practice located at 751 N Rutledge St Ste 2300, Springfield IL 62702-4968. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Wilson, Morgan can be contacted via phone (217) 545-3821.

Contact Information

Primary practice address
751 N Rutledge St Ste 2300 Springfield IL 62702-4968
Phone: (217) 545-3821
Fax: (217) 545-4485
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 036-122350 Illinois
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036-122350 Illinois

Profile Details

NPI number 1538327556
LBN Legal business name Wilson, Morgan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2008
Last updated Dec 4th, 2020 - about 4 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 1538327556 NPPES
Illinois MEDICAID 036122350

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