Wilson, Jonathan William
Wilson, Jonathan William is an individual health care provider with primary practice located at 1890 Goodman Rd E Ste 100 , Southaven MS 38671-9504. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wilson, Jonathan William can be contacted via phone (662) 772-5882.Contact Information
Primary practice address
1890 Goodman Rd E Ste 100
Southaven MS 38671-9504
Phone: (662) 772-5882
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 722 | Mississippi |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2525 | Tennessee |
Profile Details
| NPI number | 1881738532 |
|---|---|
| LBN Legal business name | Wilson, Jonathan William |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 16th, 2007 |
| Last updated | Jul 27th, 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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