Wilson, Herbert

Wilson, Herbert is an individual health care provider with primary practice located at 1307 Providence Rd , Brandon FL 33511-4885. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Wilson, Herbert can be contacted via phone (813) 655-4646.

Contact Information

Primary practice address
1307 Providence Rd Brandon FL 33511-4885
Phone: (813) 655-4646
Fax: (813) 655-4113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9436544 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN000000 Georgia

Profile Details

NPI number 1023481199
LBN Legal business name Wilson, Herbert
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2015
Last updated Apr 19th, 2018 - about 8 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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