Wilson, Rodney

Wilson, Rodney is an individual health care provider with primary practice located at 1800 12Th St , Meridian MS 39301-4158. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wilson, Rodney can be contacted via phone (601) 703-4366.

Contact Information

Primary practice address
1800 12Th St Meridian MS 39301-4158
Phone: (601) 703-4366
Fax: (601) 703-4064
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1972 Alabama
Behavioral Health & Social Service Providers / Clinical 103TC0700X 54949 Mississippi

Profile Details

NPI number 1174954432
LBN Legal business name Wilson, Rodney
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2013
Last updated Dec 3rd, 2015 - about 10 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 1174954432 NPPES
Mississippi MEDICAID 00579380

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