Wilson, Keith B
Wilson, Keith B is an sole proprietor health care provider with primary practice located at 119 S Burrowes St Suite 603, State College PA 16801-3863. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Wilson, Keith B can be contacted via phone (814) 237-1233.Contact Information
Primary practice address
119 S Burrowes St Suite 603
State College PA 16801-3863
Phone: (814) 237-1233
Fax: (814) 238-1875
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | PC000512 | Pennsylvania |
Profile Details
| NPI number | 1841373792 |
|---|---|
| LBN Legal business name | Wilson, Keith B |
| Credentials | PH.D., CRC, LPC, NCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Oct 10th, 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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