Jerome Laurence Wilson PA-C

  • NPI 1588765010
According to our database, the NPI number for Jerome Laurence Wilson PA-C is 1588765010 and activated since 17 years ago. Jerome Laurence Wilson PA-C is an individual provider who specializes in Surgical, and the primary practice location is 919 Main St Ste 101, Dyer, IN 46311. You can also contact Jerome Laurence Wilson PA-C via telephone number is (219) 836-7531. Provider NPI information was last updated on 03/17/2021.

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Overview of Jerome Laurence Wilson PA-C

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 09/26/2006
  • Last updated: 03/17/2021

Primary Scrop of Practice

  • Taxonomy Code: 363AS0400X
  • Specialty: Surgical
  • License Number: 085001943
  • License State: IL

Provider Mailing Address

  • Address: Po Box 781076
    Detroit, MI 48278
  • Phone: 317-528-4800
  • Fax: 317-865-1479

Provider Practice Location

  • Address: 919 Main St Ste 101
    Dyer, IN 46311
  • Phone: 219-836-7531
  • Fax: 219-836-7593

Scope of Practice

  • Taxonomy Code: 363AS0400X
  • Specialty: Surgical
  • License Number: 10002805A
  • License State: IN
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jerome Laurence Wilson PA-C?
  • A: The npi number for Jerome Laurence Wilson PA-C is 1588765010.
  • Q: What are Jerome Laurence Wilson PA-C's specialties?
  • A: Jerome Laurence Wilson PA-C's specialties are Surgical and different specialities.
  • Q: What is the medical license for Jerome Laurence Wilson PA-C?
  • A: The medical license number for Jerome Laurence Wilson PA-C is 085001943 and issued in IL in USA.
  • Q: Where is Jerome Laurence Wilson PA-C practice location?
  • A: Jerome Laurence Wilson PA-C is practicing at 919 Main St Ste 101, Dyer, IN 46311.
  • Q: How to contact Jerome Laurence Wilson PA-C?
  • A: You can contact Jerome Laurence Wilson PA-C via 219-836-7531.