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Contact Information

QUIANA WILSON
3209 ELMHURST DR
INDIANAPOLIS, IN46226-6221
 Phone: 317-749-4321
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for QUIANA WILSON · (Female)

NPI # 1447877303
Status Active
Credentials
Entity Individual
Enumeration date 06/26/2020
Last updated 07/01/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • License # 180142201
  • IN License # 180142201
  • IN Medicaid 821064263
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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