National Provider Identifier Database

JOHNETTE B WILSON III, R.T. – NPI #1285898809
Radiologic Technologist

A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.


Contact Information

JOHNETTE B WILSON III, R.T.
2923 75TH AVE
OAKLAND, CA94605-2903
Phone: 415-571-0542
Fax:
Website:
Specialty Taxonomy Code
* Radiologic Technologist 247100000X

* Indicates primary specialty

NPI Profile & details for JOHNETTE B WILSON III

NPI Number 1285898809
Credentials R.T.
Entity Individual
Enumeration date 07/13/2008
Last updated 07/13/2008 - About 18 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: 176908
  • CA License #: 44981
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.

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