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Contact Information

ALIX M WILSON, PA-C
747 52ND ST
OAKLAND, CA94609-1809
 Phone: 203-570-0111
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Sports Medicine

2080S0010X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ALIX M WILSON · (Female)

NPI # 1912419276
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/26/2017
Last updated 03/17/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 55025
  • CA License # PA55025
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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