Wilson, Scott Douglas

Wilson, Scott Douglas is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Wilson, Scott Douglas can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address
Medical Center Blvd Winston Salem NC 27157-0001
Phone: (336) 716-2255
Fax: (336) 716-8018
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 2006-00188 North Carolina
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 2006-00188 North Carolina

Profile Details

NPI number 1851366421
LBN Legal business name Wilson, Scott Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Oct 19th, 2023 - about last year

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 1851366421 NPPES
Other P00315168 RR MEDICARE
Other 5426596 RR MEDICARE
MEDICAID 10299675 RR MEDICARE
MEDICAID 3810007101 RR MEDICARE
MEDICAID 5905701 RR MEDICARE
Other 808940 RR MEDICARE
Other 141XM RR MEDICARE
Other 187126 RR MEDICARE

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