Wilkerson, Anita Gail
Wilkerson, Anita Gail is an sole proprietor health care provider with primary practice located at 121 Universe Dr , Martinsburg WV 25404-3567. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wilkerson, Anita Gail can be contacted via phone (304) 260-0034.Contact Information
Primary practice address
121 Universe Dr
Martinsburg WV 25404-3567
Phone: (304) 260-0034
Fax: (303) 260-9224
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 787 | West Virginia |
Profile Details
| NPI number | 1770645509 |
|---|---|
| LBN Legal business name | Wilkerson, Anita Gail |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 15th, 2006 |
| Last updated | Nov 16th, 2007 - about 17 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 | 1770645509 | NPPES |
| West Virginia | MEDICAID | 9205064000 |
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