Amos, Wilmer E

Amos, Wilmer E is an individual health care provider with primary practice located at 5384 Poplar Ave Suite 313, Memphis TN 38119-3609. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Amos, Wilmer E can be contacted via phone (901) 237-0261.

Contact Information

Primary practice address
5384 Poplar Ave Suite 313 Memphis TN 38119-3609
Phone: (901) 237-0261
Fax: (901) 683-2058
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 32483 Mississippi
Behavioral Health & Social Service Providers / Clinical 103TC0700X P 1201 Tennessee

Profile Details

NPI number 1134100712
LBN Legal business name Amos, Wilmer E
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Aug 1st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134100712 NPPES
Mississippi MEDICAID 0112244

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