Wilson, Vincent Paul

Wilson, Vincent Paul is an individual health care provider with primary practice located at 201 N Breazeale Ave , Mount Olive NC 28365-1603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wilson, Vincent Paul can be contacted via phone (919) 658-4954.

Contact Information

Primary practice address
201 N Breazeale Ave Mount Olive NC 28365-1603
Phone: (919) 658-4954
Fax: (919) 658-5754
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 70073 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2012-01585 North Carolina

Profile Details

NPI number 1609820463
LBN Legal business name Wilson, Vincent Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jul 10th, 2019 - about 7 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 1609820463 NPPES
Other 1609820463 MEDICAID

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