Wilson, Wayne Vincent

Wilson, Wayne Vincent is an sole proprietor health care provider with primary practice located at 1232 Shiloh Church Rd , Hickory NC 28601-7856. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wilson, Wayne Vincent can be contacted via phone (828) 495-4445.

Contact Information

Primary practice address
1232 Shiloh Church Rd Hickory NC 28601-7856
Fax: (828) 495-4449
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 33444 North Carolina

Profile Details

NPI number 1083681423
LBN Legal business name Wilson, Wayne Vincent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2006
Last updated Dec 23rd, 2011 - about 13 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 1083681423 NPPES
North Carolina MEDICAID 8988499

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