Wilson, Annetta
Wilson, Annetta is an sole proprietor health care provider with primary practice located at 640 N Eisenhower St , Moscow ID 83843-9588. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Wilson, Annetta can be contacted via phone (208) 882-6560.Contact Information
Primary practice address
640 N Eisenhower St
Moscow ID 83843-9588
Phone: (208) 882-6560
Fax: (208) 882-6569
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | PT-80 | Washington |
| Other Service Providers / Specialist | 174400000X | PT-00000493 | Idaho |
Profile Details
| NPI number | 1891025482 |
|---|---|
| LBN Legal business name | Wilson, Annetta |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2010 |
| Last updated | Jan 5th, 2010 - about 15 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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