Wilson, Pamela Anne

Wilson, Pamela Anne is an individual health care provider with primary practice located at 100 South St Medical Arts Building, Ste 207, Southbridge MA 01550-4051. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wilson, Pamela Anne can be contacted via phone (508) 765-9700.

Contact Information

Primary practice address
100 South St Medical Arts Building, Ste 207 Southbridge MA 01550-4051
Phone: (508) 765-9700
Fax: (508) 765-9704
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 72206 Massachusetts

Profile Details

NPI number 1891739900
LBN Legal business name Wilson, Pamela Anne
Credentials D.O. FACOP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 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 1891739900 NPPES
Massachusetts MEDICAID 3066843

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