Wilson, Daniel Gregory

Wilson, Daniel Gregory is an individual health care provider with primary practice located at 603 Bruce St , Crookston MN 56716-0603. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wilson, Daniel Gregory can be contacted via phone (218) 281-3940.

Contact Information

Primary practice address
603 Bruce St Crookston MN 56716-0603
Phone: (218) 281-3940
Fax: (218) 281-6261
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 08306 Minnesota

Profile Details

NPI number 1801855929
LBN Legal business name Wilson, Daniel Gregory
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2006
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 1801855929 NPPES
Other 116592 UCARE
Other 6220746 UCARE
Other HP23833 UCARE
Other 19971 UCARE
Other 68157WI UCARE

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