Wilson, Richard L

Wilson, Richard L is an individual health care provider with primary practice located at 3706 S Main St Suite A, Blacksburg VA 24060-7006. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Wilson, Richard L can be contacted via phone (540) 951-9000.

Contact Information

Primary practice address
3706 S Main St Suite A Blacksburg VA 24060-7006
Fax: (540) 951-7799
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 0101058886 Virginia

Profile Details

NPI number 1053385922
LBN Legal business name Wilson, Richard L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Jul 8th, 2007 - about 18 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 1053385922 NPPES
Virginia Other 146535 ANTHEM

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