Wilson, Brandon Antywan

Wilson, Brandon Antywan is an sole proprietor health care provider with primary practice located at 1233 Shadow Moss Ln , Lincoln NE 68521-8600. He recently has 5 registered licenses in different health care specialties including Nursing Service Related Providers / Chore Provider, Nursing Service Related Providers / Adult Companion, Agencies / Day Training, Developmentally Disabled Services, Nursing Service Related Providers / Day Training/Habilitation Specialist, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Agencies / Day Training, Developmentally Disabled Services is his primary health care specialty. Wilson, Brandon Antywan can be contacted via phone (402) 802-1544.

Contact Information

Primary practice address
1233 Shadow Moss Ln Lincoln NE 68521-8600
Phone: (402) 802-1544
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Chore Provider 372500000X
Nursing Service Related Providers / Adult Companion 372600000X
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X

Profile Details

NPI number 1043029531
LBN Legal business name Wilson, Brandon Antywan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 30th, 2024
Last updated Dec 30th, 2024 - about 2 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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