Wilson, Jonathan B

Wilson, Jonathan B is an individual health care provider with primary practice located at 620 N Diers Ave Ste 100 , Grand Island NE 68803-4985. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Wilson, Jonathan B can be contacted via phone (308) 381-0404.

Contact Information

Primary practice address
620 N Diers Ave Ste 100 Grand Island NE 68803-4985
Phone: (308) 381-0404
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 334 Nebraska

Profile Details

NPI number 1205197878
LBN Legal business name Wilson, Jonathan B
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2012
Last updated Jul 18th, 2012 - about 14 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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