Wilson, Rex Duane

Wilson, Rex Duane is an individual health care provider with primary practice located at 2175 Rosaline Ave , Redding CA 96001-2509. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Wilson, Rex Duane can be contacted via phone (530) 242-5745.

Contact Information

Primary practice address
2175 Rosaline Ave Redding CA 96001-2509
Phone: (530) 242-5745
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X G86692 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G86692 California

Profile Details

NPI number 1619971090
LBN Legal business name Wilson, Rex Duane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Mar 7th, 2023 - about 2 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 1619971090 NPPES
California MEDICAID 00G866920
California Other 124076900
California Other G86692

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