Wilson, Dana

Wilson, Dana is an individual health care provider with primary practice located at 200 S Jordan Ave , Bloomington IN 47405-7002. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Wilson, Dana can be contacted via phone (812) 855-7439.

Contact Information

Primary practice address
200 S Jordan Ave Bloomington IN 47405-7002
Phone: (812) 855-7439
Fax: (812) 855-5561
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 23002148A Indiana

Profile Details

NPI number 1083603997
LBN Legal business name Wilson, Dana
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
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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Identifiers

StateTypeNumberIssuer
All States NPI 1083603997 NPPES
Indiana Other 11512048 CAQH PROVIDER ID

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