Wilson, Samuel Earl

Wilson, Samuel Earl is an individual health care provider with primary practice located at 1600 Rockland Road , Wilmington DE 19803-3607. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Wilson, Samuel Earl can be contacted via phone (302) 651-4000.

Contact Information

Primary practice address
1600 Rockland Road Wilmington DE 19803-3607
Phone: (302) 651-4000
Fax: (302) 651-4945
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X C10007133 Delaware
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X C10007133 Delaware
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD419897 Pennsylvania

Profile Details

NPI number 1932189727
LBN Legal business name Wilson, Samuel Earl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Jul 31st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932189727 NPPES
New Jersey MEDICAID 0053457
New Jersey MEDICAID 0684511
New Jersey MEDICAID 001907364
New Jersey MEDICAID 0019073640011

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