Individual
DR. JOHN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
509 LONG LN, HATBORO, PA 19040-1414
(215) 672-7197
Mailing address
509 LONG LN, HATBORO, PA 19040-1414
(215) 672-7197
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
C2-0007386
DE
207Q00000X
Family Medicine Physician
H0061880
MD
207Q00000X
Family Medicine Physician
Primary
OS003902-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0614036
—
PA
01
—
606346
BLUE SHIELD
PA
Enumeration date
01/11/2007
Last updated
07/09/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us