Wheelock, David
Wheelock, David is an sole proprietor health care provider with primary practice located at 569 W Park Ave , Long Beach NY 11561-3011. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wheelock, David can be contacted via phone (516) 376-0576.Contact Information
Primary practice address
569 W Park Ave
Long Beach NY 11561-3011
Phone: (516) 376-0576
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R047075-1 | New York |
Profile Details
| NPI number | 1699830083 |
|---|---|
| LBN Legal business name | Wheelock, David |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 26th, 2006 |
| Last updated | Dec 29th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699830083 | NPPES |
| New York | Other | 162465 | VALUE OPTIONS PROVIDER NO |
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