Wilson, Pamela Anne
Wilson, Pamela Anne is an individual health care provider with primary practice located at 100 South St Medical Arts Building, Ste 207, Southbridge MA 01550-4051. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wilson, Pamela Anne can be contacted via phone (508) 765-9700.Contact Information
Primary practice address
100 South St Medical Arts Building, Ste 207
Southbridge MA 01550-4051
Phone: (508) 765-9700
Fax: (508) 765-9704
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 72206 | Massachusetts |
Profile Details
| NPI number | 1891739900 |
|---|---|
| LBN Legal business name | Wilson, Pamela Anne |
| Credentials | D.O. FACOP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891739900 | NPPES |
| Massachusetts | MEDICAID | 3066843 |
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