Wilkerson, Ronetta Y
Wilkerson, Ronetta Y is an individual health care provider with primary practice located at 2425 E Southlake Blvd #100, Southlake TX 76092-6674. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Wilkerson, Ronetta Y can be contacted via phone (817) 442-0222.Contact Information
Primary practice address
2425 E Southlake Blvd #100
Southlake TX 76092-6674
Phone: (817) 442-0222
Fax: (817) 442-0223
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 116083 | Texas |
Profile Details
| NPI number | 1447540570 |
|---|---|
| LBN Legal business name | Wilkerson, Ronetta Y |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2011 |
| Last updated | Apr 9th, 2014 - about 10 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 | 1447540570 | NPPES |
| Texas | MEDICAID | 149984001 | |
| Texas | MEDICAID | 207164901 |
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