Wilson, Richard Boulware

Wilson, Richard Boulware is an individual health care provider with primary practice located at 2407 Ruth Hentz Ave , Panama City FL 32405-2259. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wilson, Richard Boulware can be contacted via phone (850) 522-5022.

Contact Information

Primary practice address
2407 Ruth Hentz Ave Panama City FL 32405-2259
Phone: (850) 522-5022
Fax: (850) 387-0807
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME76205 Florida

Profile Details

NPI number 1356331821
LBN Legal business name Wilson, Richard Boulware
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Dec 29th, 2020 - about 6 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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