Wilson, Shawn H

Wilson, Shawn H is an individual health care provider with primary practice located at 110 S 9Th Ave , Yakima WA 98902-3315. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Wilson, Shawn H can be contacted via phone (509) 575-5061.

Contact Information

Primary practice address
110 S 9Th Ave Yakima WA 98902-3315
Phone: (509) 575-5061
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OP00002116 Washington

Profile Details

NPI number 1790794931
LBN Legal business name Wilson, Shawn H
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Jun 30th, 2010 - about 14 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 1790794931 NPPES
Washington Other 212148 LABOR & INDUSTRIES - YAKIMA LOCATION
Washington MEDICAID 8461048 LABOR & INDUSTRIES - YAKIMA LOCATION
Washington Other P00339532 LABOR & INDUSTRIES - YAKIMA LOCATION
Washington Other 4141WI LABOR & INDUSTRIES - YAKIMA LOCATION

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