Wilson, Clayton Matthew

Wilson, Clayton Matthew is an individual health care provider with primary practice located at 4140 Centennial Hills Blvd , Casper WY 82609-3265. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Orthopedic Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is his primary health care specialty. Wilson, Clayton Matthew can be contacted via phone (307) 265-7205.

Contact Information

Primary practice address
4140 Centennial Hills Blvd Casper WY 82609-3265
Phone: (307) 265-7205
Fax: (307) 235-6262
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Orthopedic Assistant 246ZX2200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 087 Wyoming

Profile Details

NPI number 1659331239
LBN Legal business name Wilson, Clayton Matthew
Credentials A.T., C., O.T.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Apr 12th, 2016 - about 10 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 1659331239 NPPES
Wyoming Other 087 CERTIFIED ATHLETIC TRAINER
Wyoming Other 16-0200 CERTIFIED ATHLETIC TRAINER

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