Wilks, Dom
Wilks, Dom is an individual health care provider with primary practice located at 610 W. Broadway Suites Suite L1, Jackson WY 83001. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Wilks, Dom can be contacted via phone (307) 733-3908.Contact Information
Primary practice address
610 W. Broadway Suites Suite L1
Jackson WY 83001
Phone: (307) 733-3908
Fax: (307) 734-0017
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LAT-297 | Wyoming |
Profile Details
| NPI number | 1518296433 |
|---|---|
| LBN Legal business name | Wilks, Dom |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 24th, 2009 |
| Last updated | Dec 24th, 2009 - about 16 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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