Wilson, John Steven

Wilson, John Steven is an individual health care provider with primary practice located at 765 Liberty St Suite 105, Meadville PA 16335-2566. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Wilson, John Steven can be contacted via phone (814) 373-2310.

Contact Information

Primary practice address
765 Liberty St Suite 105 Meadville PA 16335-2566
Phone: (814) 373-2310
Fax: (814) 373-2313
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD052384L Pennsylvania

Profile Details

NPI number 1689639270
LBN Legal business name Wilson, John Steven
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Oct 14th, 2016 - 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 1689639270 NPPES
Pennsylvania MEDICAID 0014676790001
Pennsylvania Other 0764259

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