Wilson, Robert Michael

Wilson, Robert Michael is an individual health care provider with primary practice located at 101 Knotbreak Rd , Salem VA 24153-5404. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Wilson, Robert Michael can be contacted via phone (540) 444-4020.

Contact Information

Primary practice address
101 Knotbreak Rd Salem VA 24153-5404
Phone: (540) 444-4020
Fax: (540) 444-4021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110001209 Virginia

Profile Details

NPI number 1740228329
LBN Legal business name Wilson, Robert Michael
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Jan 26th, 2022 - 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 1740228329 NPPES
Virginia MEDICAID 008953732

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