Wilson, Xavier

Wilson, Xavier is an individual health care provider with primary practice located at 2003 W Fulton St , Chicago IL 60612-2345. He recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is his primary health care specialty. Wilson, Xavier can be contacted via phone (312) 850-3438.

Contact Information

Primary practice address
2003 W Fulton St Chicago IL 60612-2345
Phone: (312) 850-3438
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X

Profile Details

NPI number 1982824264
LBN Legal business name Wilson, Xavier
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2007
Last updated Jul 26th, 2019 - about 6 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 1982824264 NPPES
New Jersey Other 814644 ADA

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