Travis, Mark Wilson
Travis, Mark Wilson is an sole proprietor health care provider with primary practice located at 345 Knechtel Way Ne Ste 111 , Bainbridge Island WA 98110-2834. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Travis, Mark Wilson can be contacted via phone (206) 472-0535.Contact Information
Primary practice address
345 Knechtel Way Ne Ste 111
Bainbridge Island WA 98110-2834
Phone: (206) 472-0535
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 603312792 | Washington |
Profile Details
| NPI number | 1083255749 |
|---|---|
| LBN Legal business name | Travis, Mark Wilson |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2019 |
| Last updated | Oct 3rd, 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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