Wilson, Michael Tyler

Wilson, Michael Tyler is an individual health care provider with primary practice located at 212 Blue Ball Ave , Elkton MD 21921-5222. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Wilson, Michael Tyler can be contacted via phone (410) 620-6077.

Contact Information

Primary practice address
212 Blue Ball Ave Elkton MD 21921-5222
Phone: (410) 620-6077
Fax: (410) 620-6081
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Maryland

Profile Details

NPI number 1821749565
LBN Legal business name Wilson, Michael Tyler
Credentials ADT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2022
Last updated Jan 14th, 2022 - 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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