Wilson, Virginia K
Wilson, Virginia K is an individual health care provider with primary practice located at 705 S University Ave Ste 510 , Beaver Dam WI 53916-3081. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Wilson, Virginia K can be contacted via phone (920) 356-9288.Contact Information
Primary practice address
705 S University Ave Ste 510
Beaver Dam WI 53916-3081
Phone: (920) 356-9288
Fax: (920) 356-1835
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35937-020 | Wisconsin |
Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 35937-020 | Wisconsin |
Profile Details
NPI number | 1558312900 |
---|---|
LBN Legal business name | Wilson, Virginia K |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 12th, 2006 |
Last updated | Dec 22nd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1558312900 | NPPES |
Wisconsin | MEDICAID | 1558312900 |
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