Wilson, Brandon James
Wilson, Brandon James is an individual health care provider with primary practice located at Uscg Base Kodiak Rockmore-King Clinic 200 Albatross Ave Bldg N-46, Kodiak AK 99615-6810. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Wilson, Brandon James can be contacted via phone (907) 487-5757.Contact Information
Primary practice address
Uscg Base Kodiak Rockmore-King Clinic 200 Albatross Ave Bldg N-46
Kodiak AK 99615-6810
Phone: (907) 487-5757
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA01268 | Rhode Island |
Profile Details
| NPI number | 1043775414 |
|---|---|
| LBN Legal business name | Wilson, Brandon James |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2019 |
| Last updated | Aug 20th, 2020 - about 6 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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