Andrea Lois Wilson in Dayton - Physician Assistant

Andrea Lois Wilson - NPI 1558424614

Andrea Lois Wilson is a Physician Assistant in Dayton, Ohio. Andrea Lois Wilson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Andrea Lois Wilson is 1558424614. The last update date is 2014-08-18.

Andrea Lois Wilson's current location address is 9000 N Main Street, Dayton, Ohio. You can contact this provider via phone number 9378322425 and fax number 9378329804. The mailing address for Andrea Lois Wilson is 9000 N Main Street, Dayton, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Andrea Lois Wilson
Address 9000 N Main Street, Dayton, Ohio
Phone Number 9378322425
Fax Number 9378329804
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1558424614
Provider Enumeration Date 2006-12-19
Last Updated Date 2014-08-18

Provider Mailing Address Detail

Address 9000 N Main Street
City Dayton
State Ohio (OH)
Post Code 45415
Phone Number 9378322425
Fax Number 9378329804

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 50001937
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
67865 OH --

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FAQs about Andrea Lois Wilson

What is the unique 10-digit identification code issued to Andrea Lois Wilson by the Centers for Medicare & Medicaid Services?

The Andrea Lois Wilson has been assigned the NPI (National Provider Identifier) 1558424614 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Andrea Lois Wilson is geographically located?

The Andrea Lois Wilson is physically situated at the following location: 9000 N Main Street, Dayton, OH, 45415.

What is Andrea Lois Wilson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Andrea Lois Wilson is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1558424614 to Andrea Lois Wilson?

The Centers for Medicare & Medicaid Services originally issued the 1558424614 to Andrea Lois Wilson on 2006-12-19.

When was the information regarding Andrea Lois Wilson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Andrea Lois Wilson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-08-18.

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