R.L. Wilson, M.D., Pc in South Bend - Psychiatry
R.L. Wilson, M.D., Pc - NPI 1962623249
R.L. Wilson, M.D., Pc is a Psychiatry in South Bend, Indiana. R.L. Wilson, M.D., Pc practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for R.L. Wilson, M.D., Pc is 1962623249. The last update date is 2020-08-22.
R.L. Wilson, M.D., Pc's current location address is 828 E Colfax Ave, South Bend, Indiana. You can contact this provider via phone number 5742335858. The mailing address for R.L. Wilson, M.D., Pc is 828 E Colfax Ave, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | R.L. Wilson, M.D., Pc |
|---|---|
| Address | 828 E Colfax Ave, South Bend, Indiana |
| Phone Number | 5742335858 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Wilson L Rickey |
| Credentials | M.D. |
| Telephone Number | 5742335858 |
NPI Number Detail
| NPI Number | 1962623249 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 828 E Colfax Ave |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466172804 |
| Phone Number | 5742335858 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 50003038A |
|
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
|
Post Comment/ Review Below
What is the R.L. Wilson, M.D., Pc's unique identification number?
The R.L. Wilson, M.D., Pc has been assigned the NPI (National Provider Identifier) Number 1962623249 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where R.L. Wilson, M.D., Pc is located?
The R.L. Wilson, M.D., Pc is situated at the following address: 828 E Colfax Ave, South Bend, IN, 466172804.
What is R.L. Wilson, M.D., Pc's area of expertise and its corresponding taxonomy classification?
The R.L. Wilson, M.D., Pc's field of specialization is Psychiatry, and it falls under the taxonomy code 2084P0800X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1962623249 assigned to R.L. Wilson, M.D., Pc?
The R.L. Wilson, M.D., Pc was issued its 1962623249 on 2007-05-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the R.L. Wilson, M.D., Pc's information last updated?
The R.L. Wilson, M.D., Pc's information was last updated on 2020-08-22.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN