Wilson, Taneka D
Wilson, Taneka D is an sole proprietor health care provider with primary practice located at 3209 Sw 34Th Avenue Cir , Ocala FL 34474-3372. She recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as her primary health care specialty. Wilson, Taneka D can be contacted via phone (352) 789-6795.Contact Information
Primary practice address
3209 Sw 34Th Avenue Cir
Ocala FL 34474-3372
Phone: (352) 789-6795
Fax: (352) 789-6796
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Day Training, Developmentally Disabled Services | 251C00000X | 690063196 | Florida |
Profile Details
| NPI number | 1952942401 |
|---|---|
| LBN Legal business name | Wilson, Taneka D |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 7th, 2019 |
| Last updated | Oct 7th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952942401 | NPPES |
| Florida | MEDICAID | 690063196 |
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