Provider Demographics
NPI:1649951690
Name:WILSON, RODNEY JAMES II
Entity type:Individual
Prefix:MR
First Name:RODNEY
Middle Name:JAMES
Last Name:WILSON
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 LINDEN ST # 31
Mailing Address - Street 2:
Mailing Address - City:WHITMAN
Mailing Address - State:MA
Mailing Address - Zip Code:02382-2413
Mailing Address - Country:US
Mailing Address - Phone:617-637-7558
Mailing Address - Fax:
Practice Address - Street 1:24 LINDEN ST # 31
Practice Address - Street 2:
Practice Address - City:WHITMAN
Practice Address - State:MA
Practice Address - Zip Code:02382-2413
Practice Address - Country:US
Practice Address - Phone:617-637-7558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker