Wilson, Phyllis A.

Wilson, Phyllis A. is an sole proprietor health care provider with primary practice located at 1249 Eagle Way , Virginia Beach VA 23456. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Wilson, Phyllis A. can be contacted via phone (757) 471-2714.

Contact Information

Primary practice address
1249 Eagle Way Virginia Beach VA 23456
Phone: (757) 471-2714
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 0813000386 Virginia

Profile Details

NPI number 1124378450
LBN Legal business name Wilson, Phyllis A.
Credentials MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2012
Last updated Sep 13th, 2012 - about 14 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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