Flint Wilson, Janna Kirsten

Flint Wilson, Janna Kirsten is an individual health care provider with primary practice located at 4704 Ambassador Caffery Pkwy , Lafayette LA 70508-6908. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as her primary health care specialty. Flint Wilson, Janna Kirsten can be contacted via phone (337) 470-5920.

Contact Information

Primary practice address
4704 Ambassador Caffery Pkwy Lafayette LA 70508-6908
Phone: (337) 470-5920
Fax: (337) 289-9860
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X MD.202173 Louisiana
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 036.118014 Illinois

Profile Details

NPI number 1447325360
LBN Legal business name Flint Wilson, Janna Kirsten
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2006
Last updated Feb 1st, 2022 - about 4 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 1447325360 NPPES
Louisiana MEDICAID 1175650

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