Wilson, Grace
Wilson, Grace is an individual health care provider with primary practice located at 1705 E Broadway Ste 280 , Columbia MO 65201-7185. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Wilson, Grace can be contacted via phone (573) 815-7119.Contact Information
Primary practice address
1705 E Broadway Ste 280
Columbia MO 65201-7185
Phone: (573) 815-7119
Fax: (573) 815-7116
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2015017097 | Missouri |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 2021030232 | Missouri |
Profile Details
| NPI number | 1750761532 |
|---|---|
| LBN Legal business name | Wilson, Grace |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2015 |
| Last updated | Oct 25th, 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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