Wilson, William Cassidy

Wilson, William Cassidy is an individual health care provider with primary practice located at 510 S Kingshighway Blvd , Saint Louis MO 63110-1016. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Body Imaging. Allopathic & Osteopathic Physicians / Body Imaging is his primary health care specialty. Wilson, William Cassidy can be contacted via phone (314) 362-7200.

Contact Information

Primary practice address
510 S Kingshighway Blvd Saint Louis MO 63110-1016
Phone: (314) 362-7200
Fax: (314) 747-4189
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2019009534 Missouri
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 2019009534 Missouri

Profile Details

NPI number 1366861841
LBN Legal business name Wilson, William Cassidy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2014
Last updated Jul 2nd, 2019 - 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 1366861841 NPPES
Illinois MEDICAID ENROLLED
Illinois MEDICAID 200067605

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