Wilson, Samuel M.

Wilson, Samuel M. is an individual health care provider with primary practice located at 210 W 300 N , Roosevelt UT 84066-2336. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Wilson, Samuel M. can be contacted via phone (435) 722-4691.

Contact Information

Primary practice address
210 W 300 N Roosevelt UT 84066-2336
Phone: (435) 722-4691
Fax: (435) 722-9291
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 5131797-1204 Utah
Allopathic & Osteopathic Physicians / Dermatology 207N00000X OP60440339 Washington

Profile Details

NPI number 1477865194
LBN Legal business name Wilson, Samuel M.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2010
Last updated Nov 2nd, 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.

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