Wilson, Christine I.M.

Wilson, Christine I.M. is an individual health care provider with primary practice located at 751 S Bascom Ave Pediatrics Dept, San Jose CA 95128-2604. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Wilson, Christine I.M. can be contacted via phone (408) 497-8800.

Contact Information

Primary practice address
751 S Bascom Ave Pediatrics Dept San Jose CA 95128-2604
Phone: (408) 497-8800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN355746 California

Profile Details

NPI number 1992867014
LBN Legal business name Wilson, Christine I.M.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Feb 24th, 2010 - about 16 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 1992867014 NPPES
California MEDICAID RN355746

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