Individual provider · Type 1 NPI
Sidney Edward Wilson
Driver · Capron, VA
NPI number
1235696675
Active
Practice location
23170 Meadow St
Capron, VA 23829-2562
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | T64705937 (VA) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
About NPI 1235696675
Sidney Edward Wilson's National Provider Identifier is 1235696675, issued on Feb 21, 2019. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Capron, VA. The record was last updated on Feb 21, 2019.