Wise, James Howard

Wise, James Howard is an sole proprietor health care provider with primary practice located at 14300 Gallant Fox Ln Suite 211, Bowie MD 20715-4003. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Wise, James Howard can be contacted via phone (301) 262-2828.

Contact Information

Primary practice address
14300 Gallant Fox Ln Suite 211 Bowie MD 20715-4003
Fax: (301) 262-2828
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 00788 Maryland

Profile Details

NPI number 1023199643
LBN Legal business name Wise, James Howard
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2006
Last updated Jul 8th, 2007 - about 19 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 1023199643 NPPES
Maryland MEDICAID 344601800

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