Wilson, Adam Richard

Wilson, Adam Richard is an individual health care provider with primary practice located at 2935 Health Pkwy , Mt Pleasant MI 48858-8931. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Wilson, Adam Richard can be contacted via phone (989) 772-1609.

Contact Information

Primary practice address
2935 Health Pkwy Mt Pleasant MI 48858-8931
Phone: (989) 772-1609
Fax: (989) 773-6279
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5601005338 Michigan

Profile Details

NPI number 1518114800
LBN Legal business name Wilson, Adam Richard
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2008
Last updated Jan 4th, 2024 - about 2 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 1518114800 NPPES
Michigan Other 5601005338 STATE LICENSE

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