Wilson, Carmen Marie

Wilson, Carmen Marie is an individual health care provider with primary practice located at 725 Center Ave , Moorhead MN 56560-1958. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Wilson, Carmen Marie can be contacted via phone (507) 720-7775.

Contact Information

Primary practice address
725 Center Ave Moorhead MN 56560-1958
Phone: (507) 720-7775
Fax: (218) 287-1267
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 2467908 Minnesota
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 302876 Minnesota

Profile Details

NPI number 1740874536
LBN Legal business name Wilson, Carmen Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2021
Last updated Feb 23rd, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740874536 NPPES
Minnesota Other 1444799 MN DHS

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