Wilson, Elizabeth
Wilson, Elizabeth is an individual health care provider with primary practice located at 111 Founders Plz Ste 400 , East Hartford CT 06108-3240. She recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Other Service Providers / Specialist is her primary health care specialty. Wilson, Elizabeth can be contacted via phone (860) 289-3375.Contact Information
Primary practice address
111 Founders Plz Ste 400
East Hartford CT 06108-3240
Phone: (860) 289-3375
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 55002 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 55002 | Massachusetts |
| Other Service Providers / Specialist | 174400000X | 55002 | Massachusetts |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 55002 | Massachusetts |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 55002 | Massachusetts |
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | 55002 | Massachusetts |
Profile Details
| NPI number | 1992791487 |
|---|---|
| LBN Legal business name | Wilson, Elizabeth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2005 |
| Last updated | Apr 17th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992791487 | NPPES |
| Massachusetts | MEDICAID | 3056520 |
Popular Providers
-
Leduc, Justin Richard
300 Summit St Ferris Athletic Center, Hartford CT 06106-3100 -
Jovanovic, Anna S
114 Woodland St , Hartford CT 06105-1208 -
Ruby, Steven Todd
1000 Asylum Avenue Suite 2120, Hartford CT 06105 -
Duvall, William Lane
80 Seymour Street Hartford Hospital Cardiology Dept, Hartford CT 06102-5037 -
Fecteau, Scott Ryan
1000 Asylum Ave Suite 2120, Hartford CT 06105 -
Davis, Lynn Keyes
43 Woodland St Suite G-80, Gothic Park, Hartford CT 06105-2363 -
Davis, Susan
111 Founders Plz Ste 400 , East Hartford CT 06108-3240 -
Chagnon, Raymond
490 Blue Hills Ave Pt And Rehab, Hartford CT 06112-1513