Wise, Jerry Thomas
Wise, Jerry Thomas is an sole proprietor health care provider with primary practice located at 703 Pro-Med Ln Ste 102 , Carmel IN 46032-5318. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Wise, Jerry Thomas can be contacted via phone (317) 919-6264.Contact Information
Primary practice address
703 Pro-Med Ln Ste 102
Carmel IN 46032-5318
Phone: (317) 919-6264
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X |
Profile Details
| NPI number | 1487982815 |
|---|---|
| LBN Legal business name | Wise, Jerry Thomas |
| Credentials | MA, MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 23rd, 2009 |
| Last updated | Nov 23rd, 2009 - about 17 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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