Wilson, Jeffrey Scott

Wilson, Jeffrey Scott is an individual health care provider with primary practice located at 200 Hawkins Dr , Iowa City IA 52242-1009. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Wilson, Jeffrey Scott can be contacted via phone (319) 356-4187.

Contact Information

Primary practice address
200 Hawkins Dr Iowa City IA 52242-1009
Phone: (319) 356-4187
Fax: (319) 353-6406
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25721 Iowa
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 25721 Iowa
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 25721 Iowa

Profile Details

NPI number 1962485326
LBN Legal business name Wilson, Jeffrey Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Jun 12th, 2015 - about 10 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 1962485326 NPPES
Iowa Other 24938 WELLMARK BCBS
Iowa MEDICAID 0249383 WELLMARK BCBS

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