Wilson, Samuel Earl
Wilson, Samuel Earl is an individual health care provider with primary practice located at 1600 Rockland Road , Wilmington DE 19803-3607. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Wilson, Samuel Earl can be contacted via phone (302) 651-4000.Contact Information
Primary practice address
1600 Rockland Road
Wilmington DE 19803-3607
Phone: (302) 651-4000
Fax: (302) 651-4945
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | C10007133 | Delaware |
| Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | C10007133 | Delaware |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD419897 | Pennsylvania |
Profile Details
| NPI number | 1932189727 |
|---|---|
| LBN Legal business name | Wilson, Samuel Earl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Jul 31st, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932189727 | NPPES |
| New Jersey | MEDICAID | 0053457 | |
| New Jersey | MEDICAID | 0684511 | |
| New Jersey | MEDICAID | 001907364 | |
| New Jersey | MEDICAID | 0019073640011 |
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