Wilson, Stephen Lawrence

Wilson, Stephen Lawrence is an individual health care provider with primary practice located at 1600 Medical Center Dr Suite2500, Huntington WV 25701-3656. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wilson, Stephen Lawrence can be contacted via phone (304) 691-1200.

Contact Information

Primary practice address
1600 Medical Center Dr Suite2500 Huntington WV 25701-3656
Fax: (304) 691-1287
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 15997 West Virginia

Profile Details

NPI number 1932172749
LBN Legal business name Wilson, Stephen Lawrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Nov 17th, 2021 - about 3 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 1932172749 NPPES
West Virginia MEDICAID 0126588000

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