Wilson, William Le Roy
Wilson, William Le Roy is an sole proprietor health care provider with primary practice located at 5565 Grossmont Center Dr Bldg. 3, Suite 540, La Mesa CA 91942-3020. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Wilson, William Le Roy can be contacted via phone (619) 460-2700.Contact Information
Primary practice address
5565 Grossmont Center Dr Bldg. 3, Suite 540
La Mesa CA 91942-3020
Phone: (619) 460-2700
Fax: (619) 460-2702
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | G44872 | California |
Profile Details
NPI number | 1972598316 |
---|---|
LBN Legal business name | Wilson, William Le Roy |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 13th, 2005 |
Last updated | Feb 26th, 2021 - about 3 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 | 1972598316 | NPPES |
California | MEDICAID | 00G448720 |
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