Wilson, Scott William

Wilson, Scott William is an individual health care provider with primary practice located at 1891 N. Gaffey Street Suite 219 & 221 , San Pedro CA 90036. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Wilson, Scott William can be contacted via phone (424) 570-0241.

Contact Information

Primary practice address
1891 N. Gaffey Street Suite 219 & 221 San Pedro CA 90036
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1306376629
LBN Legal business name Wilson, Scott William
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2017
Last updated Jul 21st, 2022 - about 4 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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