Wilson, Robert J

Wilson, Robert J is an individual health care provider with primary practice located at 111 S Front St , Harrisburg PA 17101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wilson, Robert J can be contacted via phone (717) 231-8772.

Contact Information

Primary practice address
111 S Front St Harrisburg PA 17101
Phone: (717) 231-8772
Fax: (717) 231-8435
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 038133 Georgia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME104749 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD051413L Pennsylvania

Profile Details

NPI number 1609868942
LBN Legal business name Wilson, Robert J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Jan 23rd, 2021 - about 3 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 1609868942 NPPES
Georgia MEDICAID 0006565876G
Georgia Other 1189235
Georgia MEDICAID 103115186
Georgia Other 110235293
Georgia MEDICAID 914260600
Georgia Other 52484977

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