Wilburn, Phillip A.

Wilburn, Phillip A. is an sole proprietor health care provider with primary practice located at 5241 Fountain Dr Suite G, Crown Point IN 46307-5323. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wilburn, Phillip A. can be contacted via phone (219) 381-5648.

Contact Information

Primary practice address
5241 Fountain Dr Suite G Crown Point IN 46307-5323
Phone: (219) 381-5648
Fax: (219) 736-2998
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34001917A Indiana
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149-001105 Illinois

Profile Details

NPI number 1720005440
LBN Legal business name Wilburn, Phillip A.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Dec 10th, 2011 - about 15 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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