Wilson, James Matthew

Wilson, James Matthew is an individual health care provider with primary practice located at 1490 Park Ave Nw Ste 3 , Norton VA 24273-1631. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wilson, James Matthew can be contacted via phone (276) 679-8890.

Contact Information

Primary practice address
1490 Park Ave Nw Ste 3 Norton VA 24273-1631
Phone: (276) 679-8890
Fax: (276) 439-1485
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101250849 Virginia

Profile Details

NPI number 1205981115
LBN Legal business name Wilson, James Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated May 12th, 2020 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1205981115 NPPES
Virginia Other P01081218 RR MEDICARE
Virginia MEDICAID 71000185520 RR MEDICARE
Virginia MEDICAID 1205981115 RR MEDICARE

Popular Providers