Wells, John W

Wells, John W is an individual health care provider with primary practice located at 3599 University Blvd S Bldg 100, Suite 104, Jacksonville FL 32216-4252. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Wells, John W can be contacted via phone (904) 391-1100.

Contact Information

Primary practice address
3599 University Blvd S Bldg 100, Suite 104 Jacksonville FL 32216-4252
Phone: (904) 391-1100
Fax: (904) 391-1109
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X ME 39415 Florida

Profile Details

NPI number 1275524431
LBN Legal business name Wells, John W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Jul 31st, 2012 - about 14 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 1275524431 NPPES
Florida Other 53630 BCBS
Florida MEDICAID O42404800 BCBS
Florida Other 208063 BCBS
Florida Other P00199547 BCBS

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