Wilson, Peter S
Wilson, Peter S is an individual health care provider with primary practice located at 4704 Whitesburg Dr Sw Ste 200 , Huntsville AL 35802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wilson, Peter S can be contacted via phone (256) 880-4510.Contact Information
Primary practice address
4704 Whitesburg Dr Sw Ste 200
Huntsville AL 35802
Phone: (256) 880-4510
Fax: (256) 880-4512
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD.15425 | Alabama |
Profile Details
| NPI number | 1083602130 |
|---|---|
| LBN Legal business name | Wilson, Peter S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Aug 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083602130 | NPPES |
| Alabama | MEDICAID | 000070292 | |
| Alabama | Other | 020040119 |
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