Wilson, Zechariah
Wilson, Zechariah is an individual health care provider with primary practice located at 315 E Elm St # 201 , Caldwell ID 83605-4857. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Wilson, Zechariah can be contacted via phone (208) 514-2528.Contact Information
Primary practice address
315 E Elm St # 201
Caldwell ID 83605-4857
Phone: (208) 514-2528
Fax: (208) 375-2217
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MRM-1581 | Idaho |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | M-14112 | Idaho |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M-14112 | Idaho |
Profile Details
| NPI number | 1104274950 |
|---|---|
| LBN Legal business name | Wilson, Zechariah |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2016 |
| Last updated | Nov 5th, 2025 - about last year |
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 | 1104274950 | NPPES |
| Idaho | MEDICAID | 1104274950 |
Popular Providers
-
Rogers, Cody Joseph
4815 Cleveland Blvd , Caldwell ID 83605-6501 -
Moulton, Travis Reed
1906 Fairview Ave Ste 230, Caldwell ID 83605-5407 -
Augustus, Richard A
1717 Arlington Ave , Caldwell ID 83605-4802 -
Slack, Michael
4815 Cleveland Blvd , Caldwell ID 83605-6501 -
Portenier, Samantha
315 E Elm St Ste 201 , Caldwell ID 83605-4857 -
Blanton, Harrison Davis
315 E Elm Street Ste 100, Caldwell ID 83605-4858 -
Hanley, Brandon
1906 Fairview Ave Ste 350 , Caldwell ID 83605-5425 -
Isaacs, Brandon G
712 Aviation Way , Caldwell ID 83605-1154