Wilson, Ted Richard

Wilson, Ted Richard is an individual health care provider with primary practice located at 740 Harrison Ave , Panama City FL 32401-2524. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wilson, Ted Richard can be contacted via phone (850) 785-3232.

Contact Information

Primary practice address
740 Harrison Ave Panama City FL 32401-2524
Phone: (850) 785-3232
Fax: (850) 747-8648
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME18674 Florida

Profile Details

NPI number 1588659262
LBN Legal business name Wilson, Ted Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Jul 8th, 2007 - about 17 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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