R.L. Wilson, M.D., Pc

LBN: R.L. Wilson, M.D., Pc
R.L. Wilson, M.D., Pc is an health care organization with primary practice located at 828 E Colfax Ave , South Bend IN 46617-2804. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Psychiatry. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. R.L. Wilson, M.D., Pc can be contacted via phone (574) 233-5858, or through Wilson, Rickey L via phone (574) 233-5858.

Contact Information

Primary practice address
828 E Colfax Ave South Bend IN 46617-2804
Phone: (574) 233-5858
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Rickey L Doctor of Medicine (MD)
Phone: (574) 233-5858

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 50003038A Indiana

Profile Details

NPI number 1962623249
LBN Legal business name R.L. Wilson, M.D., Pc
DBA Doing business as
Authorized official Wilson, Rickey L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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