Wilson, Jefferie Michael

Wilson, Jefferie Michael is an individual health care provider with primary practice located at 559 Vincent St Attn: 21 Hcos/Sgoc - Peds, Peterson Afb CO 80914-1540. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Wilson, Jefferie Michael can be contacted via phone (719) 556-1197.

Contact Information

Primary practice address
559 Vincent St Attn: 21 Hcos/Sgoc - Peds Peterson Afb CO 80914-1540
Phone: (719) 556-1197
Fax: (877) 813-1756
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 29958 Oklahoma

Profile Details

NPI number 1922444132
LBN Legal business name Wilson, Jefferie Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2013
Last updated Aug 23rd, 2019 - about 7 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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