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Contact Information

MIKE WILSON, ORTHOPEDIC TECH
317 N EL CAMINO REAL
STE 405
ENCINITAS, CA92024-2811
 Phone: 760-994-2663
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Assistant

246ZX2200X
Indicates primary specialty

NPI Profile & details for MIKE WILSON · (Male)

NPI Number 1558894956
Status Active
Credentials ORTHOPEDIC TECH
Entity Individual
Enumeration date 04/04/2017
Last updated 04/04/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • TX License # CPT00039417
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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