Wilson, Dara

Wilson, Dara is an individual health care provider with primary practice located at 155 Airport Rd , Fitchburg MA 01420-8142. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Wilson, Dara can be contacted via phone (978) 343-6300.

Contact Information

Primary practice address
155 Airport Rd Fitchburg MA 01420-8142
Phone: (978) 343-6300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1174284020
LBN Legal business name Wilson, Dara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2022
Last updated Jan 4th, 2022 - about 4 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 1174284020 NPPES
Other 12345 SUBSTANCE ABUSE

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