Wilson, Todd
Wilson, Todd is an individual health care provider with primary practice located at 5101 Boarshead Rd Apt #117, Minnetonka MN 55345-4042. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Wilson, Todd can be contacted via phone (763) 772-2262.Contact Information
Primary practice address
5101 Boarshead Rd Apt #117
Minnetonka MN 55345-4042
Phone: (763) 772-2262
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 303526 | Minnesota |
Profile Details
| NPI number | 1316314131 |
|---|---|
| LBN Legal business name | Wilson, Todd |
| Credentials | LADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 27th, 2015 |
| Last updated | Aug 27th, 2015 - about 11 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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