Wilson, Johnathon Mitt

Wilson, Johnathon Mitt is an individual health care provider with primary practice located at 781 36Th St Se , Grand Rapids MI 49548-2319. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Wilson, Johnathon Mitt can be contacted via phone (734) 395-8652.

Contact Information

Primary practice address
781 36Th St Se Grand Rapids MI 49548-2319
Phone: (734) 395-8652
Fax: (616) 243-2302
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1164765681
LBN Legal business name Wilson, Johnathon Mitt
Credentials Bachelor of Social Work (BSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2013
Last updated Apr 3rd, 2013 - about 13 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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