Wilson, Nathan Jerome
Wilson, Nathan Jerome is an sole proprietor health care provider with primary practice located at 4221 Chestnut Ave , Long Beach CA 90807-1903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wilson, Nathan Jerome can be contacted via phone (310) 720-0758.Contact Information
Primary practice address
4221 Chestnut Ave
Long Beach CA 90807-1903
Phone: (310) 720-0758
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20A5796 | California |
Profile Details
| NPI number | 1720053572 |
|---|---|
| LBN Legal business name | Wilson, Nathan Jerome |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Feb 11th, 2015 - about 10 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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