NPI Code Detail JSON Logo

1285730002 NPI number — DEBORAH J WILSON D.O.

NPI Number: 1285730002
Health Care Provider/Practitioner: DEBORAH J WILSON D.O.

Information about “1285730002” NPI (DEBORAH J WILSON D.O.) exists in 1285730002 in HTML format HTML  |  1285730002 in plain Text format TXT  |  1285730002 in PDF (Portable Document Format) PDF  |  1285730002 in an XML format XML  formats.

NPI Number : 1285730002 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1285730002",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WILSON",
    "FirstName": "DEBORAH",
    "MiddleName": "J",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "D.O.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2442 BRODHEAD RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BETHLEHEM",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "18020-8910",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "610-758-8011",
    "MailingAddressFaxNumber": "610-758-8013",
    "FirstLinePracticeLocationAddress": "1702 S 4TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ALLENTOWN",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "18103-4924",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "610-791-2755",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/16/2006",
    "LastUpdateDate": "12/23/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "LicenseNumber": "OS009098L",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.