Wilson, Justin Alan

Wilson, Justin Alan is an sole proprietor health care provider with primary practice located at 16020 Park Valley Dr , Round Rock TX 78681-3573. He recently has 3 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, Technologists, Technicians & Other Technical Service Providers / Orthopedic Assistant. Technologists, Technicians & Other Technical Service Providers / Orthopedic Assistant is his primary health care specialty. Wilson, Justin Alan can be contacted via phone (512) 477-6341.

Contact Information

Primary practice address
16020 Park Valley Dr Round Rock TX 78681-3573
Phone: (512) 477-6341
Fax: (512) 477-1959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 913
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X 913
Technologists, Technicians & Other Technical Service Providers / Orthopedic Assistant 246ZX2200X 913

Profile Details

NPI number 1285021071
LBN Legal business name Wilson, Justin Alan
Credentials OPA-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2015
Last updated Jan 19th, 2022 - about 3 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 1285021071 NPPES
Other #913 ORTHOPEDIC PHYSICIAN ASSISTANTS

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