Wilson, Clara

Wilson, Clara is an individual health care provider with primary practice located at 5783 Wooster Pike , Medina OH 44256-8816. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Wilson, Clara can be contacted via phone (330) 725-0569.

Contact Information

Primary practice address
5783 Wooster Pike Medina OH 44256-8816
Phone: (330) 725-0569
Fax: (330) 662-0258
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1164810495
LBN Legal business name Wilson, Clara
Credentials C- PA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2015
Last updated Jul 8th, 2024 - about 2 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 1164810495 NPPES
Ohio MEDICAID 3025372

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