Wilson, Robert H

Wilson, Robert H is an individual health care provider with primary practice located at 201 Cedar St Se Suite 6600, Albuquerque NM 87106-4917. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Wilson, Robert H can be contacted via phone (505) 724-4300.

Contact Information

Primary practice address
201 Cedar St Se Suite 6600 Albuquerque NM 87106-4917
Fax: (505) 724-4384
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 92-377 New Mexico

Profile Details

NPI number 1154309698
LBN Legal business name Wilson, Robert H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Jan 10th, 2013 - about 11 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 1154309698 NPPES
New Mexico MEDICAID 000E6907

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