Wilson, Victoria V

Wilson, Victoria V is an individual health care provider with primary practice located at 1380 Progress Way Ste 102 , Eldersburg MD 21784-6498. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wilson, Victoria V can be contacted via phone (410) 795-0257.

Contact Information

Primary practice address
1380 Progress Way Ste 102 Eldersburg MD 21784-6498
Fax: (410) 549-7354
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D0067957 Maryland

Profile Details

NPI number 1063699569
LBN Legal business name Wilson, Victoria V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2008
Last updated Feb 7th, 2024 - about 2 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 1063699569 NPPES
Maryland MEDICAID 420227900

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