Wilson, Bennett Leroy

Wilson, Bennett Leroy is an sole proprietor health care provider with primary practice located at 600 Highland Ave , Madison WI 53792-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as his primary health care specialty. Wilson, Bennett Leroy can be contacted via phone (608) 263-8443.

Contact Information

Primary practice address
600 Highland Ave Madison WI 53792-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 82161-21 Wisconsin

Profile Details

NPI number 1891223616
LBN Legal business name Wilson, Bennett Leroy
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2017
Last updated Jun 25th, 2026 - about 4 months 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 1891223616 NPPES
New York MEDICAID 0039

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