Wilson, Rita Rae

Wilson, Rita Rae is an sole proprietor health care provider with primary practice located at 2901 Troost Ave , Kansas City MO 64109-1538. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Wilson, Rita Rae can be contacted via phone (816) 418-7034.

Contact Information

Primary practice address
2901 Troost Ave Kansas City MO 64109-1538
Phone: (816) 418-7034
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 0298196 Missouri

Profile Details

NPI number 1700074739
LBN Legal business name Wilson, Rita Rae
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2007
Last updated May 22nd, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700074739 NPPES
Missouri MEDICAID 856276407

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