Wilka, Donald Richard
Wilka, Donald Richard is an individual health care provider with primary practice located at 702 W Alto Road , Kokomo IN 46902-6459. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wilka, Donald Richard can be contacted via phone (765) 453-7422.Contact Information
Primary practice address
702 W Alto Road
Kokomo IN 46902-6459
Phone: (765) 453-7422
Fax: (765) 453-3773
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 34000882A | Indiana |
Profile Details
NPI number | 1225163611 |
---|---|
LBN Legal business name | Wilka, Donald Richard |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 23rd, 2007 |
Last updated | Jun 16th, 2021 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225163611 | NPPES |
Indiana | MEDICAID | 100154150A |
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