Wilt, Sharon Lynn

Wilt, Sharon Lynn is an individual health care provider with primary practice located at 2400 Unser Blvd Se , Rio Rancho NM 87124. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wilt, Sharon Lynn can be contacted via phone (601) 942-0179.

Contact Information

Primary practice address
2400 Unser Blvd Se Rio Rancho NM 87124
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 66842 Georgia

Profile Details

NPI number 1760492185
LBN Legal business name Wilt, Sharon Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Aug 29th, 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 1760492185 NPPES
Mississippi MEDICAID 03075562
Mississippi MEDICAID 003124060

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