Wilkinson, Jason Dean
Wilkinson, Jason Dean is an individual health care provider with primary practice located at 3901 Chrysler Dr Ste 1A , Detroit MI 48201-2167. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Wilkinson, Jason Dean can be contacted via phone (313) 577-1396.Contact Information
Primary practice address
3901 Chrysler Dr Ste 1A
Detroit MI 48201-2167
Phone: (313) 577-1396
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6401007299 | Michigan |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 6401007299 | Michigan |
Profile Details
| NPI number | 1316071442 |
|---|---|
| LBN Legal business name | Wilkinson, Jason Dean |
| Credentials | LPC, MA LLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2007 |
| Last updated | Mar 25th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316071442 | NPPES |
| Michigan | MEDICAID | 213119549 |
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