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Organization

WILSONS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KEVIN J ONEIL (PRESIDENT)
(413) 774-4326
Entity
Organization

Contact information

Practice address
258 MAIN ST, GREENFIELD, MA 01301-3202
(413) 774-4326
(413) 774-2878
Mailing address
PO BOX 1520, 258 MAIN ST, GREENFIELD, MA 01302-1520
(413) 774-4326
(413) 774-2878

Taxonomy

Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
195354
BLUE CROSS BLUE SHIELD
MA
Enumeration date
10/14/2006
Last updated
10/05/2007
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