Wilson, Michael Chad
Wilson, Michael Chad is an individual health care provider with primary practice located at 10421 W Brownstone Dr , Boise ID 83709-5612. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wilson, Michael Chad can be contacted via phone (208) 724-0913.Contact Information
Primary practice address
10421 W Brownstone Dr
Boise ID 83709-5612
Phone: (208) 724-0913
Fax: (208) 561-8373
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW-31906 | Idaho |
Profile Details
| NPI number | 1366708216 |
|---|---|
| LBN Legal business name | Wilson, Michael Chad |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2012 |
| Last updated | Nov 6th, 2023 - about 3 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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