Wilson, James Cornelius

Wilson, James Cornelius is an sole proprietor health care provider with primary practice located at 46 N Main St , West Brookfield MA 01585-3232. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wilson, James Cornelius can be contacted via phone (508) 867-8977.

Contact Information

Primary practice address
46 N Main St West Brookfield MA 01585-3232
Phone: (508) 867-8977
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 219183 Massachusetts

Profile Details

NPI number 1285622365
LBN Legal business name Wilson, James Cornelius
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2005
Last updated Feb 19th, 2016 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1285622365 NPPES
Massachusetts MEDICAID 2096200

Popular Providers