Wilson, Terry L
Wilson, Terry L is an individual health care provider with primary practice located at 1299 Bishop Rd , Chehalis WA 98532-8758. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Wilson, Terry L can be contacted via phone (360) 748-0211.Contact Information
Primary practice address
1299 Bishop Rd
Chehalis WA 98532-8758
Phone: (360) 748-0211
Fax: (360) 748-8732
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA10000075 | Washington |
Profile Details
| NPI number | 1073609442 |
|---|---|
| LBN Legal business name | Wilson, Terry L |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Jul 5th, 2023 - about 3 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 | 1073609442 | NPPES |
| Washington | Other | 0134911 | LABOR & INDUSTRIES |
| Washington | Other | 9112WI | LABOR & INDUSTRIES |
| Washington | Other | 970011631 | LABOR & INDUSTRIES |
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