Wilson, Jill Suzanne
Wilson, Jill Suzanne is an sole proprietor health care provider with primary practice located at 85 Pine St Apt 107 , Coshocton OH 43812-1937. She recently has only one registered license in Agencies / In Home Supportive Care, which is considered as her primary health care specialty. Wilson, Jill Suzanne can be contacted via phone (330) 275-0509.Contact Information
Primary practice address
85 Pine St Apt 107
Coshocton OH 43812-1937
Phone: (330) 275-0509
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / In Home Supportive Care | 253Z00000X | 1601943 | Ohio |
Profile Details
| NPI number | 1609594092 |
|---|---|
| LBN Legal business name | Wilson, Jill Suzanne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 22nd, 2022 |
| Last updated | Aug 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609594092 | NPPES |
| Ohio | MEDICAID | 1601943 |
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