Wild, Andrew

Wild, Andrew is an individual health care provider with primary practice located at 11 Graham Dr , Athens OH 45701-1430. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Wild, Andrew can be contacted via phone (800) 321-8293.

Contact Information

Primary practice address
11 Graham Dr Athens OH 45701-1430
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X C.2103185-TRNE Ohio

Profile Details

NPI number 1164098760
LBN Legal business name Wild, Andrew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2021
Last updated Jun 3rd, 2021 - 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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