Wilson, Roy A
Wilson, Roy A is an sole proprietor health care provider with primary practice located at 31114 Haggerty Rd , Farmington Hills MI 48331-5803. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wilson, Roy A can be contacted via phone (248) 788-1610.Contact Information
Primary practice address
31114 Haggerty Rd
Farmington Hills MI 48331-5803
Phone: (248) 788-1610
Fax: (248) 788-8290
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 49010032126 | Michigan |
Profile Details
| NPI number | 1649287400 |
|---|---|
| LBN Legal business name | Wilson, Roy A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 2nd, 2006 |
| Last updated | Sep 10th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649287400 | NPPES |
| Michigan | MEDICAID | 459590394 | |
| Michigan | Other | 900F31045 | |
| Michigan | MEDICAID | 460850086 | |
| Michigan | Other | 900F368040 |
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