Wilson, Andrea Lois

Wilson, Andrea Lois is an individual health care provider with primary practice located at 9000 N Main Street Suite 101, Dayton OH 45415. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Wilson, Andrea Lois can be contacted via phone (937) 832-2425.

Contact Information

Primary practice address
9000 N Main Street Suite 101 Dayton OH 45415
Phone: (937) 832-2425
Fax: (937) 832-9804
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50001937 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50-001937 Ohio

Profile Details

NPI number 1558424614
LBN Legal business name Wilson, Andrea Lois
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Aug 18th, 2014 - about 12 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 1558424614 NPPES
Ohio MEDICAID 0067865

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