Mr. Samuel C Wilson, PRS
Peer Specialist in Willingboro, New Jersey
1881452019- Practice location
- 15 Hawthorne Ln, Willingboro, NJ 08046-1717
- Phone
- 609-470-4283
- Fax
- —
- Last updated
- March 12, 2024
Samuel Carl Wilson is a Peer Specialist based in Willingboro, NJ. Samuel Carl Wilson practices in Willingboro, NJ and has the professional credentials of PRS. The NPI Number for Samuel Carl Wilson is 1881452019. The current practice location address for Samuel Carl Wilson is 15 Hawthorne Ln, Willingboro, NJ 08046-1717 and can be reached out via phone at 609-470-4283.
Provider Profile Details
- NPI Number
- 1881452019
- Provider Name
- Samuel Carl Wilson
- Credential
- PRS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 15 Hawthorne Ln, Willingboro, NJ 08046-1717
- Phone Number
- 609-470-4283
- Primary Taxonomy
- Peer Specialist · 175T00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 12, 2024
- Last Update Date
- March 12, 2024
- Certification Date
- March 12, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 15 Hawthorne Ln
Willingboro, NJ 08046-1717 - City
- Willingboro
- State
- New Jersey
- Zip
- 08046-1717
- Phone Number
- 609-470-4283
Provider Business Mailing Address Details
- Address
- 15 Hawthorne Ln
Willingboro, NJ 08046-1717 - City
- Willingboro
- State
- NJ
- Zip
- 08046-1717
- Phone Number
- 609-470-4283
License Information
- Taxonomy
- Peer Specialist · 175T00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Samuel C Wilson, PRS?
The NPI number of Mr. Samuel C Wilson, PRS is 1881452019. It was assigned on March 12, 2024 and is currently active in the NPPES registry.
What is the specialty of Mr. Samuel C Wilson, PRS?
Mr. Samuel C Wilson, PRS is registered under the primary taxonomy Peer Specialist (code 175T00000X).
Where does Mr. Samuel C Wilson, PRS practice?
The practice location is 15 Hawthorne Ln, Willingboro, NJ 08046-1717. The office can be reached at 609-470-4283 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1881452019 directly on the NPPES registry website.