Wilson, Shandra

Wilson, Shandra is an individual health care provider with primary practice located at 8200 E Belleview Ave Ste 100E , Greenwood Village CO 80111-2804. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Wilson, Shandra can be contacted via phone (303) 649-3710.

Contact Information

Primary practice address
8200 E Belleview Ave Ste 100E Greenwood Village CO 80111-2804
Phone: (303) 649-3710
Fax: (303) 649-3711
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 41060 Colorado
Allopathic & Osteopathic Physicians / Urology 208800000X DR.0041060 Colorado

Profile Details

NPI number 1275557043
LBN Legal business name Wilson, Shandra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Oct 13th, 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 1275557043 NPPES
Colorado MEDICAID 26525267

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