Wilson, Karen L

Wilson, Karen L is an individual health care provider with primary practice located at 3811 Valley Centre Dr , San Diego CA 92130. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Wilson, Karen L can be contacted via phone (858) 764-3030.

Contact Information

Primary practice address
3811 Valley Centre Dr San Diego CA 92130
Phone: (858) 764-3030
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 036103153 Illinois

Profile Details

NPI number 1851390025
LBN Legal business name Wilson, Karen L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Sep 24th, 2018 - about 8 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 1851390025 NPPES
Illinois MEDICAID 036103153

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