Wildman, Michelle Anne

Wildman, Michelle Anne is an sole proprietor health care provider with primary practice located at 122 Eglin Pkwy Ne , Fort Walton Beach FL 32548-4917. She recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as her primary health care specialty. Wildman, Michelle Anne can be contacted via phone (850) 543-6227.

Contact Information

Primary practice address
122 Eglin Pkwy Ne Fort Walton Beach FL 32548-4917
Phone: (850) 543-6227
Fax: (850) 863-9974
Website:
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Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X 11903 Florida

Profile Details

NPI number 1003962317
LBN Legal business name Wildman, Michelle Anne
Credentials OTRL
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 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.

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