Wilson, Peter J

Wilson, Peter J is an individual health care provider with primary practice located at 2142 N Cove Blvd , Toledo OH 43606-3895. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Wilson, Peter J can be contacted via phone (419) 471-4491.

Contact Information

Primary practice address
2142 N Cove Blvd Toledo OH 43606-3895
Phone: (419) 471-4491
Fax: (419) 479-6905
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 35049169 Ohio
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 350149169 Ohio

Profile Details

NPI number 1508864653
LBN Legal business name Wilson, Peter J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Mar 8th, 2012 - about 13 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 1508864653 NPPES
Michigan Other 104071557 MICHIGAN MEDICAID
Michigan Other 0611752 MICHIGAN MEDICAID
Michigan MEDICAID 0611752 MICHIGAN MEDICAID
Michigan Other 341877986015 MICHIGAN MEDICAID
Michigan Other 050064648 MICHIGAN MEDICAID

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