Wilson, Robert Bruce
Wilson, Robert Bruce is an sole proprietor health care provider with primary practice located at 320 Jake Alexander Blvd W , Salisbury NC 28147-1442. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Wilson, Robert Bruce can be contacted via phone (704) 797-0065.Contact Information
Primary practice address
320 Jake Alexander Blvd W
Salisbury NC 28147-1442
Phone: (704) 797-0065
Fax: (704) 797-0067
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 9601527 | North Carolina |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 9601527 | North Carolina |
Profile Details
| NPI number | 1962473496 |
|---|---|
| LBN Legal business name | Wilson, Robert Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Aug 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962473496 | NPPES |
| North Carolina | MEDICAID | 891269V |
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