Wilson, William L

Wilson, William L is an sole proprietor health care provider with primary practice located at 85 Herrick St Lahey At Beverly Hospital, Beverly MA 01915-1790. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Community Health. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Wilson, William L can be contacted via phone (978) 922-3000.

Contact Information

Primary practice address
85 Herrick St Lahey At Beverly Hospital Beverly MA 01915-1790
Phone: (978) 922-3000
Fax: (978) 921-7048
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 22648 Minnesota
Ambulatory Health Care Facilities / Community Health 261QC1500X 238644 Massachusetts
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 238644 Massachusetts

Profile Details

NPI number 1639284300
LBN Legal business name Wilson, William L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2006
Last updated Mar 3rd, 2014 - about 11 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 1639284300 NPPES
Massachusetts Other J47582 BCBS
Massachusetts Other 55A04WI BCBS
Massachusetts MEDICAID 110086079A BCBS
Massachusetts MEDICAID 755590300 BCBS

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