Wilson, Paul Stuart
Wilson, Paul Stuart is an individual health care provider with primary practice located at 1666 E Bert Kouns Industrial Loop Ste 105 , Shreveport LA 71105-5718. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Wilson, Paul Stuart can be contacted via phone (318) 212-3520.Contact Information
Primary practice address
1666 E Bert Kouns Industrial Loop Ste 105
Shreveport LA 71105-5718
Phone: (318) 212-3520
Fax: (318) 212-3525
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | MD.020189 | Louisiana |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 020189 | Louisiana |
Profile Details
| NPI number | 1902838105 |
|---|---|
| LBN Legal business name | Wilson, Paul Stuart |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Dec 1st, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902838105 | NPPES |
| Louisiana | MEDICAID | 1911879 |
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