Wilson, Robert Joseph

Wilson, Robert Joseph is an sole proprietor health care provider with primary practice located at 1855 Tanner Way , Harriman TN 37748-8302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wilson, Robert Joseph can be contacted via phone (865) 376-6272.

Contact Information

Primary practice address
1855 Tanner Way Harriman TN 37748-8302
Phone: (865) 376-6272
Fax: (865) 376-0341
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 30880 Tennessee

Profile Details

NPI number 1982698155
LBN Legal business name Wilson, Robert Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2005
Last updated Jun 25th, 2021 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1982698155 NPPES
Tennessee MEDICAID 3835683
Tennessee MEDICAID Q066116
Tennessee Other 3835683

Popular Providers