Wilson, Thomas A.

Wilson, Thomas A. is an individual health care provider with primary practice located at 778 Hoffman Rd , West End NC 27376-9029. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Wilson, Thomas A. can be contacted via phone (877) 472-2302.

Contact Information

Primary practice address
778 Hoffman Rd West End NC 27376-9029
Phone: (877) 472-2302
Fax: (877) 472-2302
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 19427 North Carolina

Profile Details

NPI number 1366485443
LBN Legal business name Wilson, Thomas A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Nov 13th, 2020 - about 4 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 1366485443 NPPES
North Carolina MEDICAID 8988468

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