Wheeler, Lynwood Clinton

Wheeler, Lynwood Clinton is an individual health care provider with primary practice located at 102 Medical Park , Hattiesburg MS 39401. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Wheeler, Lynwood Clinton can be contacted via phone (601) 261-5159.

Contact Information

Primary practice address
102 Medical Park Hattiesburg MS 39401
Phone: (601) 261-5159
Fax: (601) 545-1740
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 31468 Mississippi

Profile Details

NPI number 1093745770
LBN Legal business name Wheeler, Lynwood Clinton
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Jul 22nd, 2020 - about 4 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 1093745770 NPPES
Mississippi Other 1821000 UNITED HEALTHCARE

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