Wilson, Jamison L

Wilson, Jamison L is an individual health care provider with primary practice located at 2401 W University Ave , Muncie IN 47303-3499. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Wilson, Jamison L can be contacted via phone (765) 747-4374.

Contact Information

Primary practice address
2401 W University Ave Muncie IN 47303-3499
Phone: (765) 747-4374
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01063480A Indiana
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 01063480A Indiana

Profile Details

NPI number 1427260124
LBN Legal business name Wilson, Jamison L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2007
Last updated Feb 23rd, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427260124 NPPES
Indiana Other P00966894 RAILROAD MEDICARE
Indiana MEDICAID 200858000 RAILROAD MEDICARE

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