Wishom, Blair

Wishom, Blair is an individual health care provider with primary practice located at 2495 W March Ln Ste 125 , Stockton CA 95207-8224. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is his primary health care specialty. Wishom, Blair can be contacted via phone (209) 320-7675.

Contact Information

Primary practice address
2495 W March Ln Ste 125 Stockton CA 95207-8224
Phone: (209) 320-7675
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1316302532
LBN Legal business name Wishom, Blair
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2015
Last updated Dec 13th, 2023 - about 3 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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