Wilson, Charles Richard

Wilson, Charles Richard is an individual health care provider with primary practice located at 6 Woodland Rd Ste 205 , Saint Helena CA 94574-9501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wilson, Charles Richard can be contacted via phone (707) 963-6111.

Contact Information

Primary practice address
6 Woodland Rd Ste 205 Saint Helena CA 94574-9501
Phone: (707) 963-6111
Fax: (707) 963-6161
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 47551 Montana
Allopathic & Osteopathic Physicians / Surgery 208600000X C164914 California

Profile Details

NPI number 1295933471
LBN Legal business name Wilson, Charles Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2007
Last updated Sep 13th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295933471 NPPES
New York MEDICAID 03026446
New York MEDICAID 1022802

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