Wilson, James Sherrill

Wilson, James Sherrill is an sole proprietor health care provider with primary practice located at 426 8Th St , Glen Dale WV 26038-1451. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wilson, James Sherrill can be contacted via phone (304) 845-7755.

Contact Information

Primary practice address
426 8Th St Glen Dale WV 26038-1451
Phone: (304) 845-7755
Fax: (304) 845-7010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1883 West Virginia

Profile Details

NPI number 1679627137
LBN Legal business name Wilson, James Sherrill
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2007
Last updated Jul 8th, 2007 - about 19 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 1679627137 NPPES
West Virginia MEDICAID 0136162000

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