Wilson, Heather Dawn

Wilson, Heather Dawn is an individual health care provider with primary practice located at 200 Highway 2 W , Devils Lake ND 58301-3532. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wilson, Heather Dawn can be contacted via phone (709) 166-5220.

Contact Information

Primary practice address
200 Highway 2 W Devils Lake ND 58301-3532
Phone: (709) 166-5220
Fax: (701) 665-2300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3819 North Dakota

Profile Details

NPI number 1720187016
LBN Legal business name Wilson, Heather Dawn
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Apr 15th, 2011 - about 15 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 1720187016 NPPES
North Dakota Other 27582 BCBS PIN
North Dakota MEDICAID 054518 BCBS PIN

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