Pine, Sherwood Wilson
Pine, Sherwood Wilson is an sole proprietor health care provider with primary practice located at 1719 President St , Palatka FL 32177-4944. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Pine, Sherwood Wilson can be contacted via phone (352) 478-5641.Contact Information
Primary practice address
1719 President St
Palatka FL 32177-4944
Phone: (352) 478-5641
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH13866 | Florida |
Profile Details
NPI number | 1497460745 |
---|---|
LBN Legal business name | Pine, Sherwood Wilson |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 20th, 2023 |
Last updated | Jan 20th, 2023 - about 2 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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