Wilson, Brodie M
Wilson, Brodie M is an individual health care provider with primary practice located at 2900 Doolittle Dr , Ellsworth Afb SD 57706-4821. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Wilson, Brodie M can be contacted via phone (605) 385-3656.Contact Information
Primary practice address
2900 Doolittle Dr
Ellsworth Afb SD 57706-4821
Phone: (605) 385-3656
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 103451 | Texas |
Profile Details
| NPI number | 1710658976 |
|---|---|
| LBN Legal business name | Wilson, Brodie M |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2021 |
| Last updated | Sep 25th, 2023 - about 3 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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