Wilson, Nevin W

Wilson, Nevin W is an individual health care provider with primary practice located at 3006 S Maryland Pkwy Suite 315, Las Vegas NV 89109-2218. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Wilson, Nevin W can be contacted via phone (702) 992-6868.

Contact Information

Primary practice address
3006 S Maryland Pkwy Suite 315 Las Vegas NV 89109-2218
Phone: (702) 992-6868
Fax: (702) 992-6860
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 12229 Nevada

Profile Details

NPI number 1518049873
LBN Legal business name Wilson, Nevin W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Jul 28th, 2014 - about 12 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 1518049873 NPPES
West Virginia MEDICAID 0107913000

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