Wilson, Stella Elizabeth
Wilson, Stella Elizabeth is an individual health care provider with primary practice located at 500 Stone Lake Road , Dulce NM 87528. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Medical Technologist, which is considered as her primary health care specialty. Wilson, Stella Elizabeth can be contacted via phone (575) 759-7309.Contact Information
Primary practice address
500 Stone Lake Road
Dulce NM 87528
Phone: (575) 759-7309
Fax: (575) 759-7294
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Medical Technologist | 246QM0706X | TN 26432 | Florida |
Profile Details
| NPI number | 1891085262 |
|---|---|
| LBN Legal business name | Wilson, Stella Elizabeth |
| Credentials | Medical Technologist (MT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2011 |
| Last updated | Jun 13th, 2012 - about 14 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 | 1891085262 | NPPES |
| New Mexico | Other | HSZ196 | MEDICARE PART B |
| New Mexico | MEDICAID | K3526 | MEDICARE PART B |
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