Wilson, Scott D

Wilson, Scott D is an individual health care provider with primary practice located at 5486 W Us Highway 40 , Greenfield IN 46140-8803. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Wilson, Scott D can be contacted via phone (317) 947-6400.

Contact Information

Primary practice address
5486 W Us Highway 40 Greenfield IN 46140-8803
Phone: (317) 947-6400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 87000719A Indiana
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 34001913A Indiana

Profile Details

NPI number 1497365837
LBN Legal business name Wilson, Scott D
Credentials LCSW, LCAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2020
Last updated Jul 31st, 2020 - about 5 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 1497365837 NPPES
Indiana Other 87000719A MEDICAL LICENSE
Indiana Other 34001913A MEDICAL LICENSE

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