Wilson, Jeffrey L

Wilson, Jeffrey L is an individual health care provider with primary practice located at 28905 Woodward Ave , Berkley MI 48072-0923. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wilson, Jeffrey L can be contacted via phone (248) 544-2293.

Contact Information

Primary practice address
28905 Woodward Ave Berkley MI 48072-0923
Phone: (248) 544-2293
Fax: (248) 544-1624
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301033906 Michigan

Profile Details

NPI number 1790768133
LBN Legal business name Wilson, Jeffrey L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Dec 3rd, 2009 - about 17 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 1790768133 NPPES
Michigan MEDICAID 1091529

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