Wilson, Warren T

Wilson, Warren T is an individual health care provider with primary practice located at 91-819 Launahele St , Ewa Beach HI 96706-4753. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is his primary health care specialty. Wilson, Warren T can be contacted via phone (417) 839-6517.

Contact Information

Primary practice address
91-819 Launahele St Ewa Beach HI 96706-4753
Phone: (417) 839-6517
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R9934 Missouri
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 2404 Hawaii

Profile Details

NPI number 1952441339
LBN Legal business name Wilson, Warren T
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Sep 14th, 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 1952441339 NPPES
Missouri Other 9736 MO BLUE SHIELD
Missouri MEDICAID 241145903 MO BLUE SHIELD
Missouri Other 82518 MO BLUE SHIELD

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