Wilson, Robert Borden

Wilson, Robert Borden is an individual health care provider with primary practice located at 2300 Hospital Dr Ste 120 , Bossier City LA 71111-2193. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Wilson, Robert Borden can be contacted via phone (318) 212-7982.

Contact Information

Primary practice address
2300 Hospital Dr Ste 120 Bossier City LA 71111-2193
Phone: (318) 212-7982
Fax: (318) 212-7989
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 306374 Louisiana

Profile Details

NPI number 1477971885
LBN Legal business name Wilson, Robert Borden
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2014
Last updated Jul 16th, 2019 - about 5 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 1477971885 NPPES
Louisiana MEDICAID 2449508

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