Wilson, Robert W

Wilson, Robert W is an individual health care provider with primary practice located at 10318 S Hudson Ave , Tulsa OK 74137-6074. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Wilson, Robert W can be contacted via phone (918) 520-6063.

Contact Information

Primary practice address
10318 S Hudson Ave Tulsa OK 74137-6074
Phone: (918) 520-6063
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 11833 Oklahoma

Profile Details

NPI number 1881667210
LBN Legal business name Wilson, Robert W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated May 5th, 2017 - about 7 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 1881667210 NPPES
Oklahoma MEDICAID 100095070C

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