Wilson, Javon

Wilson, Javon is an sole proprietor health care provider with primary practice located at 400 Renaissance Ctr Ste 2600 , Detroit MI 48243-1502. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Technician/Technologist, Other Service Providers / Case Manager/Care Coordinator, Technologists, Technicians & Other Technical Service Providers / Technician, Other. Technologists, Technicians & Other Technical Service Providers / Technician, Other is his primary health care specialty. Wilson, Javon can be contacted via phone (855) 832-6727.

Contact Information

Primary practice address
400 Renaissance Ctr Ste 2600 Detroit MI 48243-1502
Phone: (855) 832-6727
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Technician/Technologist 156F00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1912510918
LBN Legal business name Wilson, Javon
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2020
Last updated Jun 23rd, 2021 - about 5 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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