Wilson, Patricia Ann

Wilson, Patricia Ann is an individual health care provider with primary practice located at 1019 Sagewood Pl , Pocatello ID 83201-2729. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic, which is considered as her primary health care specialty. Wilson, Patricia Ann can be contacted via phone (208) 221-0234.

Contact Information

Primary practice address
1019 Sagewood Pl Pocatello ID 83201-2729
Phone: (208) 221-0234
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic 246ZE0600X 713

Profile Details

NPI number 1508232604
LBN Legal business name Wilson, Patricia Ann
Credentials CNIM
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2015
Last updated Aug 12th, 2015 - about 11 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 1508232604 NPPES
Other 713 CNIM

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