Glenn, Leroy Wilson

Glenn, Leroy Wilson is an individual health care provider with primary practice located at 220 East First Avenue Extension Suite 10, Lexington NC 27292-3355. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Glenn, Leroy Wilson can be contacted via phone (336) 242-2450.

Contact Information

Primary practice address
220 East First Avenue Extension Suite 10 Lexington NC 27292-3355
Phone: (336) 242-2450
Fax: (336) 249-9920
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 688 North Carolina

Profile Details

NPI number 1831243054
LBN Legal business name Glenn, Leroy Wilson
Credentials LCAS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Jul 8th, 2007 - about 19 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1831243054 NPPES
North Carolina Other 688 LCAS

Popular Providers