National Provider Identifier Database

E J WILSON, CLS – NPI #1043479330
Medical Illustrator

Deactivation Date: 3/31/2023


Contact Information

E J WILSON, CLS
12000 STONE LAKE ROAD
DULCE, NM87528
Phone: 505-759-7238
Fax:
Website:
Specialty Taxonomy Code
* Medical Illustrator 246ZI1000X

* Indicates primary specialty

NPI Profile & details for E J WILSON

NPI Number 1043479330
Credentials CLS
Entity Individual
Enumeration date 06/03/2008
Last updated 06/04/2008 - About 18 years ago
Sole proprietor1 Yes
Identifiers
  • KS License #: 9905528
  • NM Medicaid: 000K3526
  • NM Other: HSZ196 MEDICARE PART B
Hospital affiliation n/a

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.

Reviews for E J WILSON, CLS

There are currently no reviews for E J WILSON, CLS


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