Shell, Rebecca Wilson

Shell, Rebecca Wilson is an sole proprietor health care provider with primary practice located at 200 Queens Rd Ste 102 , Charlotte NC 28204-3252. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Shell, Rebecca Wilson can be contacted via phone (704) 756-7688.

Contact Information

Primary practice address
200 Queens Rd Ste 102 Charlotte NC 28204-3252
Phone: (704) 756-7688
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCASA25106 North Carolina

Profile Details

NPI number 1407310063
LBN Legal business name Shell, Rebecca Wilson
Credentials LCAS-A
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2019
Last updated Jan 29th, 2019 - about 7 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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