Wilson, Carl

Wilson, Carl is an individual health care provider with primary practice located at 150 Dennis St Sw Ste A, Tumwater WA 98501-5459. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Wilson, Carl can be contacted via phone (360) 754-6367.

Contact Information

Primary practice address
150 Dennis St Sw Ste A Tumwater WA 98501-5459
Phone: (360) 754-6367
Fax: (360) 754-6429
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA60875426 Washington
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Nevada

Profile Details

NPI number 1386147957
LBN Legal business name Wilson, Carl
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2018
Last updated Sep 6th, 2019 - about 7 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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