Individual
JEFFREY C WILSON
Active
Individual
JEFFREY C WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD030440E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000024559
BLUE SHIELD
PA
01
—
0000024559
HIGHMARK BLUE CROSS
—
05
—
0011023000008
—
PA
01
—
1102300088
COMMUNITY CARE
—
01
—
205489
UPMC HEALTH PLAN
—
01
—
260019503
UNITED HEALTHCARE
—
Enumeration date
03/14/2006
Last updated
10/06/2008
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