Wilson, Harold T

Wilson, Harold T is an individual health care provider with primary practice located at 16063 Vanowen St , Van Nuys CA 91406-4810. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Wilson, Harold T can be contacted via phone (818) 785-9989.

Contact Information

Primary practice address
16063 Vanowen St Van Nuys CA 91406-4810
Phone: (818) 785-9989
Fax: (818) 785-3330
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A 38694 California
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 9701199 North Carolina

Profile Details

NPI number 1619960457
LBN Legal business name Wilson, Harold T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Oct 3rd, 2013 - about 13 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 1619960457 NPPES
Other 1619960457 TRICARE
MEDICAID 5910044 TRICARE
MEDICAID 1619960457 TRICARE

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