Wilson, Pamela Denise
Wilson, Pamela Denise is an individual health care provider with primary practice located at 2906 S 20Th St , Milwaukee WI 53215-3732. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wilson, Pamela Denise can be contacted via phone (414) 672-1353.Contact Information
Primary practice address
2906 S 20Th St
Milwaukee WI 53215-3732
Phone: (414) 672-1353
Fax: (414) 672-4265
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 42350 | Wisconsin |
Profile Details
NPI number | 1083610430 |
---|---|
LBN Legal business name | Wilson, Pamela Denise |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 21st, 2005 |
Last updated | Mar 7th, 2023 - about last year |
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 | 1083610430 | NPPES |
Wisconsin | MEDICAID | 34064100 | |
Wisconsin | Other | 461310335 | |
Wisconsin | Other | 7426373 | |
Wisconsin | Other | 8130732 |
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