Wilson, William Le Roy

Wilson, William Le Roy is an sole proprietor health care provider with primary practice located at 5565 Grossmont Center Dr Bldg. 3, Suite 540, La Mesa CA 91942-3020. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Wilson, William Le Roy can be contacted via phone (619) 460-2700.

Contact Information

Primary practice address
5565 Grossmont Center Dr Bldg. 3, Suite 540 La Mesa CA 91942-3020
Phone: (619) 460-2700
Fax: (619) 460-2702
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X G44872 California

Profile Details

NPI number 1972598316
LBN Legal business name Wilson, William Le Roy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2005
Last updated Feb 26th, 2021 - about 5 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 1972598316 NPPES
California MEDICAID 00G448720

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