Wilson, Larry A

Wilson, Larry A is an individual health care provider with primary practice located at 4924 Campbell Blvd , Baltimore MD 21236-5908. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wilson, Larry A can be contacted via phone (443) 461-1997.

Contact Information

Primary practice address
4924 Campbell Blvd Baltimore MD 21236-5908
Phone: (443) 461-1997
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D26253 Maryland

Profile Details

NPI number 1629062211
LBN Legal business name Wilson, Larry A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Mar 27th, 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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