John Everett Wilson
Physical Medicine & Rehabilitation Doctor
4 C North Ave Suite 425
Bel Air
, Maryland 21014-2307
John Everett Wilson
Physical Medicine & Rehabilitation Doctor
4 C North Ave Suite 425
Bel Air
, Maryland 21014-2307
(410) 838-0727
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- John Everett Wilson
- 4 C North Ave Suite 425
- Bel Air, MD
- Zip : 21014-2307
- Fax : (410) 838-0727
- Phone : (410) 838-8991
Second Address
- John Everett Wilson
- 4 C North Ave Suite 425
- Bel Air, MD
- Zip : 21014-2307
- Fax : (410) 838-0727
- Phone : (410) 838-8991
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | H0045242 | MD |
National Provider Identifier
| NPI | 1003803057 |
|---|---|
| Provider Name | John Everett Wilson |
| First Address | Bel Air, MD 21014-2307 |
| Second Address | Bel Air, MD 21014-2307 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/10/2005 |
| Last Update Date | 26/08/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G36668 | (02) | |
| H0045242 | STATE LICENSE (01) | MD |
| OW25NE | BCBS (01) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.