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Contact Information

BRIAN WILSON MD L.L.C.
275 PONAHAWAI ST
SUITE 106
HILO, HI96720-3074
 Phone: 808-961-0022
 Fax: 808-969-3852
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for BRIAN WILSON MD LLC · (Female)

NPI # 1134315005
Status Active
Credentials
Entity Individual
Enumeration date 09/24/2007
Last updated 09/24/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • HI License # 4143
  • IA Medicaid 04734301
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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