Wilson, Thomas

Wilson, Thomas is an individual health care provider with primary practice located at 18599 Lake Shore Blvd , Cleveland OH 44119-1093. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Wilson, Thomas can be contacted via phone (216) 844-3800.

Contact Information

Primary practice address
18599 Lake Shore Blvd Cleveland OH 44119-1093
Phone: (216) 844-3800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35-049077 Ohio
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35-049077 Ohio

Profile Details

NPI number 1649239260
LBN Legal business name Wilson, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Jan 11th, 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 1649239260 NPPES
Ohio MEDICAID 0607927
Ohio Other 2597481
Ohio Other 341313510TW
Ohio Other 4344500
Ohio Other 000000503655
Ohio Other 264168
Ohio Other 364138
Ohio Other 741761
Ohio Other P00358874
Ohio Other 000000130210
Ohio Other 000000221214
Ohio Other 18959

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