Wilson, Audrey Y.
Wilson, Audrey Y. is an sole proprietor health care provider with primary practice located at 919 2Nd St Ne , Canton OH 44704-1132. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Wilson, Audrey Y. can be contacted via phone (330) 454-7917.Contact Information
Primary practice address
919 2Nd St Ne
Canton OH 44704-1132
Phone: (330) 454-7917
Fax: (330) 452-8860
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1124358502 |
|---|---|
| LBN Legal business name | Wilson, Audrey Y. |
| Credentials | BA, TO |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 6th, 2010 |
| Last updated | Jan 6th, 2010 - about 14 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 | 1124358502 | NPPES |
| Ohio | MEDICAID | 0290822 |
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