Wilson, Philip Michael
Wilson, Philip Michael is an individual health care provider with primary practice located at 1105 N University Dr Suite 104, Nacogdoches TX 75961-4294. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wilson, Philip Michael can be contacted via phone (936) 564-6262.Contact Information
Primary practice address
1105 N University Dr Suite 104
Nacogdoches TX 75961-4294
Phone: (936) 564-6262
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 15839 | Texas |
Profile Details
| NPI number | 1609076025 |
|---|---|
| LBN Legal business name | Wilson, Philip Michael |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 23rd, 2007 |
| Last updated | May 18th, 2013 - about 12 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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