Jacqueline S. Wilson, M.D., P.C. in Bozeman - Adult Mental Health

Jacqueline S. Wilson, M.D., P.C. - NPI 1194822049

Jacqueline S. Wilson, M.D., P.C. is a Adult Mental Health in Bozeman, Montana. Jacqueline S. Wilson, M.D., P.C. practices all healthcare services and medical treatments related to Adult Mental Health. The NPI Number for Jacqueline S. Wilson, M.D., P.C. is 1194822049. The last update date is 2008-03-17.

Jacqueline S. Wilson, M.D., P.C.'s current location address is 321 E Main St, Bozeman, Montana. You can contact this provider via phone number 4065867515 and fax number 4065220481. The mailing address for Jacqueline S. Wilson, M.D., P.C. is 321 E Main St, Bozeman, Montana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jacqueline S. Wilson, M.D., P.C.
Address 321 E Main St, Bozeman, Montana
Phone Number 4065867515
Fax Number 4065220481
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Wilson S. Jacqueline
Credentials M.D.
Telephone Number 4065867515

NPI Number Detail

NPI Number 1194822049
Provider Enumeration Date 2006-09-20
Last Updated Date 2008-03-17

Provider Mailing Address Detail

Address 321 E Main St
City Bozeman
State Montana (MT)
Post Code 597156241
Phone Number 4065867515
Fax Number 4065220481

Provider's Primary Taxonomy Detail

Speciality Adult Mental Health
Taxonomy 261Qm0850X
Licence No 8315
Definition:
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
93296 MT BCBS
152425 MT --

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FAQs about Jacqueline S. Wilson, M.D., P.C.

What is the unique identification code assigned to Jacqueline S. Wilson, M.D., P.C. by the Centers for Medicare & Medicaid Services?

The Jacqueline S. Wilson, M.D., P.C. has been issued the NPI (National Provider Identifier) 1194822049. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Jacqueline S. Wilson, M.D., P.C.'s physical address?

The Jacqueline S. Wilson, M.D., P.C. is physically located at 321 E Main St, in the city of Bozeman, MT, with the postal code 597156241.

What is the Jacqueline S. Wilson, M.D., P.C.'s specialty and taxonomy code?

The Jacqueline S. Wilson, M.D., P.C.'s specialty is Adult Mental Health, and the corresponding taxonomy code is 261Qm0850X.

When was the Jacqueline S. Wilson, M.D., P.C.'s 1194822049 issued?

The Jacqueline S. Wilson, M.D., P.C.'s 1194822049 was issued on 2006-09-20.

When was the information regarding Jacqueline S. Wilson, M.D., P.C. most recently updated?

The details pertaining to the Jacqueline S. Wilson, M.D., P.C., including its address, specialty, and other relevant information, were last refreshed on 2008-03-17.

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