Wilson, Misti H

Wilson, Misti H is an individual health care provider with primary practice located at 601 Watkins Centre Pkwy Suite 200, Midlothian VA 23114-0002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Oncology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Wilson, Misti H can be contacted via phone (804) 594-3130.

Contact Information

Primary practice address
601 Watkins Centre Pkwy Suite 200 Midlothian VA 23114-0002
Phone: (804) 594-3130
Fax: (804) 423-6517
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X E-7047 Arkansas
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101254102 Virginia

Profile Details

NPI number 1407035629
LBN Legal business name Wilson, Misti H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2007
Last updated Aug 1st, 2013 - about 13 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 1407035629 NPPES
Virginia Other C09633 GROUP PTAN

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