Wilson, Carmen Josefa
Wilson, Carmen Josefa is an individual health care provider with primary practice located at 4101 Evans Ave , Fort Myers FL 33901-9310. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Wilson, Carmen Josefa can be contacted via phone (941) 792-2020.Contact Information
Primary practice address
4101 Evans Ave
Fort Myers FL 33901-9310
Phone: (941) 792-2020
Fax: (239) 936-8776
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 044609 | Georgia |
Profile Details
| NPI number | 1871593764 |
|---|---|
| LBN Legal business name | Wilson, Carmen Josefa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2005 |
| Last updated | Aug 9th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871593764 | NPPES |
| Georgia | MEDICAID | 000791249B |
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