Wilson, Douglas Richard

Wilson, Douglas Richard is an individual health care provider with primary practice located at 1141 Pear Tree Lane Suite 100, Napa CA 94558-6485. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Wilson, Douglas Richard can be contacted via phone (707) 254-1770.

Contact Information

Primary practice address
1141 Pear Tree Lane Suite 100 Napa CA 94558-6485
Phone: (707) 254-1770
Fax: (707) 254-1779
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X A71642 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A71642 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A71642 California

Profile Details

NPI number 1285693572
LBN Legal business name Wilson, Douglas Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Nov 11th, 2021 - about 5 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 1285693572 NPPES
California MEDICAID 00A716420

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