Wilson, John D.

Wilson, John D. is an individual health care provider with primary practice located at 700 Park Ave , Ironton OH 45638-1502. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Wilson, John D. can be contacted via phone (740) 532-1613.

Contact Information

Primary practice address
700 Park Ave Ironton OH 45638-1502
Fax: (740) 532-1715
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X S.0500243 Ohio

Profile Details

NPI number 1780194118
LBN Legal business name Wilson, John D.
Credentials LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2017
Last updated Sep 10th, 2018 - about 8 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 1780194118 NPPES
Ohio MEDICAID 0276149

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