Wilson, Nicole

Wilson, Nicole is an sole proprietor health care provider with primary practice located at 2775 Mosside Blvd , Monroeville PA 15146. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Wilson, Nicole can be contacted via phone (412) 357-3161.

Contact Information

Primary practice address
2775 Mosside Blvd Monroeville PA 15146
Phone: (412) 357-3161
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS018751 Pennsylvania

Profile Details

NPI number 1003234857
LBN Legal business name Wilson, Nicole
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2014
Last updated Mar 17th, 2018 - about 7 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 1003234857 NPPES
Pennsylvania MEDICAID 1033022310001

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