Wilson, Zechariah

Wilson, Zechariah is an individual health care provider with primary practice located at 1375 N Happy Valley Rd , Nampa ID 83687-5280. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Wilson, Zechariah can be contacted via phone (208) 809-2869.

Contact Information

Primary practice address
1375 N Happy Valley Rd Nampa ID 83687-5280
Phone: (208) 809-2869
Fax: (208) 809-2870
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MRM-1581 Idaho
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X M-14112 Idaho
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M-14112 Idaho

Profile Details

NPI number 1104274950
LBN Legal business name Wilson, Zechariah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2016
Last updated Sep 17th, 2020 - 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 1104274950 NPPES
Idaho MEDICAID 1104274950

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