Medina, Wilsikin

Medina, Wilsikin is an individual health care provider with primary practice located at 700 Brookside Dr , Andover MA 01810. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Medina, Wilsikin can be contacted via phone (978) 807-2473.

Contact Information

Primary practice address
700 Brookside Dr Andover MA 01810
Phone: (978) 807-2473
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1750955761
LBN Legal business name Medina, Wilsikin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2021
Last updated Mar 8th, 2022 - 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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