Wilson, Mark

Wilson, Mark is an individual health care provider with primary practice located at 516 Nizhoni Blvd , Gallup NM 87301-5748. He recently has only one registered license in Nursing Service Providers / Ambulatory Care, which is considered as his primary health care specialty. Wilson, Mark can be contacted via phone (505) 722-1000.

Contact Information

Primary practice address
516 Nizhoni Blvd Gallup NM 87301-5748
Phone: (505) 722-1000
Fax: (505) 722-1310
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Ambulatory Care 163WP2201X R41887 New Mexico

Profile Details

NPI number 1902091937
LBN Legal business name Wilson, Mark
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2007
Last updated Sep 12th, 2007 - about 19 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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