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Contact Information

MICHAEL P WILSON, OTC
324 GARDEN RD
SPRINGFIELD, PA19064-3505
 Phone: 610-513-1001
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Technician/Technologist

156F00000X
Indicates primary specialty

NPI Profile & details for MICHAEL P WILSON · (Male)

NPI # 1891201604
Status Active
Credentials OTC
Entity Individual
Enumeration date 12/18/2017
Last updated 12/18/2017 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • License # 12-0205
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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