Wilson, Nicole April

Wilson, Nicole April is an individual health care provider with primary practice located at 601 Elmwood Ave Box Surg Box Surg , Rochester NY 14642-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as her primary health care specialty. Wilson, Nicole April can be contacted via phone (585) 275-4435.

Contact Information

Primary practice address
601 Elmwood Ave Box Surg Box Surg Rochester NY 14642-0001
Phone: (585) 275-4435
Fax: (585) 276-2370
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 304415 New York

Profile Details

NPI number 1336588326
LBN Legal business name Wilson, Nicole April
Credentials PH.D., M.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2013
Last updated Jul 3rd, 2023 - about 2 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 1336588326 NPPES
Missouri Other 2018008652 STATE OF MISSOURI
Missouri Other 304415 STATE OF MISSOURI
Missouri MEDICAID 06055958 STATE OF MISSOURI

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