Wilson, Kurtis Wayne
Wilson, Kurtis Wayne is an individual health care provider with primary practice located at 295 Wharton Ln Ne , Norton VA 24273-1541. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Wilson, Kurtis Wayne can be contacted via phone (276) 679-7457.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1518536580 |
|---|---|
| LBN Legal business name | Wilson, Kurtis Wayne |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2021 |
| Last updated | Jun 23rd, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518536580 | NPPES |
| Indiana | Other | 3810-03-0390 | DRIVER'S LICENSE |
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