Wilson, Nancy Jane

Wilson, Nancy Jane is an individual health care provider with primary practice located at 943 Hualapai Way , Peach Springs AZ 86434. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wilson, Nancy Jane can be contacted via phone (928) 769-2900.

Contact Information

Primary practice address
943 Hualapai Way Peach Springs AZ 86434
Phone: (928) 769-2900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 7218 Arizona

Profile Details

NPI number 1972649648
LBN Legal business name Wilson, Nancy Jane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Mar 12th, 2012 - about 12 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 1972649648 NPPES
Ohio MEDICAID 2088324

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