Wilson, Bret Alan
Wilson, Bret Alan is an sole proprietor health care provider with primary practice located at 16846 W Bell Rd Suite 112, Surprise AZ 85374-3052. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wilson, Bret Alan can be contacted via phone (623) 556-2335.Contact Information
Primary practice address
16846 W Bell Rd Suite 112
Surprise AZ 85374-3052
Phone: (623) 556-2335
Fax: (623) 556-9382
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 7609 | Arizona |
Profile Details
| NPI number | 1871536318 |
|---|---|
| LBN Legal business name | Wilson, Bret Alan |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Apr 5th, 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 | 1871536318 | NPPES |
| Ohio | MEDICAID | 0452013 |
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