Wilson, Mark C

Wilson, Mark C is an individual health care provider with primary practice located at Children'S Hospital - Respiratory Medicine & Allergy 8200 Dodge Street, Omaha NE 68114-4113. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pediatric Pulmonology, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Wilson, Mark C can be contacted via phone (402) 955-5570.

Contact Information

Primary practice address
Children'S Hospital - Respiratory Medicine & Allergy 8200 Dodge Street Omaha NE 68114-4113
Phone: (402) 955-5570
Fax: (402) 955-5575
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 2080S0012X 17658 Nebraska
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 17658 Nebraska
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 17658 Nebraska

Profile Details

NPI number 1407808793
LBN Legal business name Wilson, Mark C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Jul 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407808793 NPPES
Iowa MEDICAID 1926246
Iowa Other 662
Iowa Other 94533
Iowa MEDICAID 7781510
Iowa Other 31219

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