Wilson, Robert Lewis

Wilson, Robert Lewis is an individual health care provider with primary practice located at 3715 Dauphin St Ste 7A , Mobile AL 36608-1775. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Wilson, Robert Lewis can be contacted via phone (251) 410-4001.

Contact Information

Primary practice address
3715 Dauphin St Ste 7A Mobile AL 36608-1775
Phone: (251) 410-4001
Fax: (251) 410-4002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 23859 Tennessee
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MD42733 Alabama

Profile Details

NPI number 1629002928
LBN Legal business name Wilson, Robert Lewis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 16th, 2021 - about 4 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 1629002928 NPPES
Tennessee Other 3155481 BLUE CROSS PIN
Tennessee Other 3740051 BLUE CROSS PIN
Tennessee Other 611133600 BLUE CROSS PIN
Tennessee MEDICAID 3842696 BLUE CROSS PIN
Tennessee Other 4128772 BLUE CROSS PIN

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