Wilson, Yolanda W
Wilson, Yolanda W is an individual health care provider with primary practice located at 297 Highway 51 Ste B , Ridgeland MS 39157-3423. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wilson, Yolanda W can be contacted via phone (601) 707-5381.Contact Information
Primary practice address
297 Highway 51 Ste B
Ridgeland MS 39157-3423
Phone: (601) 707-5381
Fax: (601) 707-5382
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 12555 | Mississippi |
Profile Details
| NPI number | 1386777589 |
|---|---|
| LBN Legal business name | Wilson, Yolanda W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2007 |
| Last updated | Nov 16th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386777589 | NPPES |
| Mississippi | MEDICAID | 00110402 |
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