Wilson, Thomas William

Wilson, Thomas William is an individual health care provider with primary practice located at 16 Woodbine Lane , Danville PA 17821-8029. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Wilson, Thomas William can be contacted via phone (570) 271-6531.

Contact Information

Primary practice address
16 Woodbine Lane Danville PA 17821-8029
Phone: (570) 271-6531
Fax: (570) 271-7146
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD049787L Pennsylvania

Profile Details

NPI number 1962478842
LBN Legal business name Wilson, Thomas William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Aug 4th, 2020 - about 5 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 1962478842 NPPES
Pennsylvania MEDICAID 0015265000003
Pennsylvania Other GU039847
Pennsylvania MEDICAID 01736281

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