Wilson, Madelyn
Wilson, Madelyn is an sole proprietor health care provider with primary practice located at 12301 Olive Blvd , Creve Coeur MO 63141. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Wilson, Madelyn can be contacted via phone (314) 579-6166.Contact Information
Primary practice address
12301 Olive Blvd
Creve Coeur MO 63141
Phone: (314) 579-6166
Fax: (314) 579-6163
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2013020793 | Missouri |
Profile Details
| NPI number | 1114356672 |
|---|---|
| LBN Legal business name | Wilson, Madelyn |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 5th, 2013 |
| Last updated | Dec 12th, 2016 - about 10 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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