Wilson, Laura

Wilson, Laura is an individual health care provider with primary practice located at 1308 E Kiehl Ave , Sherwood AR 72120-3040. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wilson, Laura can be contacted via phone (501) 835-0703.

Contact Information

Primary practice address
1308 E Kiehl Ave Sherwood AR 72120-3040
Phone: (501) 835-0703
Fax: (501) 834-6249
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X E-4416 Arkansas

Profile Details

NPI number 1801830740
LBN Legal business name Wilson, Laura
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Sep 23rd, 2008 - about 17 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 1801830740 NPPES
Arkansas Other 7226719 AETNA
Arkansas MEDICAID 157741001 AETNA
Arkansas Other 5N239 AETNA
Arkansas Other 05070026700 AETNA

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