Wilson, Philip Joseph

Wilson, Philip Joseph is an individual health care provider with primary practice located at 1241 W Stadium Blvd , Jefferson City MO 65109-6023. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Wilson, Philip Joseph can be contacted via phone (573) 556-7709.

Contact Information

Primary practice address
1241 W Stadium Blvd Jefferson City MO 65109-6023
Phone: (573) 556-7709
Fax: (573) 556-1709
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 2017021706 Missouri

Profile Details

NPI number 1962842476
LBN Legal business name Wilson, Philip Joseph
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2013
Last updated Jul 21st, 2022 - about 3 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 1962842476 NPPES
Missouri MEDICAID 200029781

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