Wilson, Stella Elizabeth

Wilson, Stella Elizabeth is an individual health care provider with primary practice located at 500 Stone Lake Road , Dulce NM 87528. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Medical Technologist, which is considered as her primary health care specialty. Wilson, Stella Elizabeth can be contacted via phone (575) 759-7309.

Contact Information

Primary practice address
500 Stone Lake Road Dulce NM 87528
Phone: (575) 759-7309
Fax: (575) 759-7294
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Medical Technologist 246QM0706X TN 26432 Florida

Profile Details

NPI number 1891085262
LBN Legal business name Wilson, Stella Elizabeth
Credentials Medical Technologist (MT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2011
Last updated Jun 13th, 2012 - about 13 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 1891085262 NPPES
New Mexico Other HSZ196 MEDICARE PART B
New Mexico MEDICAID K3526 MEDICARE PART B

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