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Contact Information

EVAN J WILSON, IDC
2989 EAST AROW ST
YUMA, AZ85365
 Phone: 310-408-7127
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Independent Duty Corpsman

1710I1002X
Indicates primary specialty

NPI Profile & details for EVAN J WILSON · (Male)

NPI # 1003298571
Status Active
Credentials IDC
Entity Individual
Enumeration date 06/22/2015
Last updated 09/16/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • CA Other 1124648471 US NAVY
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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