Wilson, Timothy L
Wilson, Timothy L is an sole proprietor health care provider with primary practice located at 781 Black Oak Dr #102 , Medford OR 97504-9501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wilson, Timothy L can be contacted via phone (541) 789-4236.Contact Information
Primary practice address
781 Black Oak Dr #102
Medford OR 97504-9501
Phone: (541) 789-4236
Fax: (541) 789-5965
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20004 | Oregon |
Profile Details
| NPI number | 1982794293 |
|---|---|
| LBN Legal business name | Wilson, Timothy L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 15th, 2006 |
| Last updated | Apr 27th, 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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