Wilson, Thomas J

Wilson, Thomas J is an individual health care provider with primary practice located at 625 East Broadway St Johns Medical Center Dept Of Radiology, Jackson WY 83001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Wilson, Thomas J can be contacted via phone (800) 633-1905.

Contact Information

Primary practice address
625 East Broadway St Johns Medical Center Dept Of Radiology Jackson WY 83001
Phone: (800) 633-1905
Fax: (913) 491-0411
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 5596A Wyoming

Profile Details

NPI number 1689788655
LBN Legal business name Wilson, Thomas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Mar 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689788655 NPPES
Wyoming Other 5596A MEDICAL LICENSE
Wyoming Other 313044 MEDICAL LICENSE

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