Wilson, Stewart M
Wilson, Stewart M is an individual health care provider with primary practice located at 341 Medical Loop Ste 120, Roseburg OR 97471-5546. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Wilson, Stewart M can be contacted via phone (541) 672-8288.Contact Information
Primary practice address
341 Medical Loop Ste 120
Roseburg OR 97471-5546
Phone: (541) 672-8288
Fax: (541) 672-0665
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD08850 | Oregon |
Profile Details
| NPI number | 1467434969 |
|---|---|
| LBN Legal business name | Wilson, Stewart M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Jan 1st, 2016 - about 10 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 | 1467434969 | NPPES |
| Oregon | MEDICAID | 213629 |
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