Wilson, Chondra Jemise
Wilson, Chondra Jemise is an sole proprietor health care provider with primary practice located at 1696 Lomond St Ste 201 , Winston Salem NC 27127-2741. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Prosthetics Case Management, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Wilson, Chondra Jemise can be contacted via phone (757) 289-2020.Contact Information
Primary practice address
1696 Lomond St Ste 201
Winston Salem NC 27127-2741
Phone: (757) 289-2020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Prosthetics Case Management | 1744P3200X | Nebraska | |
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | North Carolina |
Profile Details
| NPI number | 1184232126 |
|---|---|
| LBN Legal business name | Wilson, Chondra Jemise |
| Credentials | COSMETOLOGIST |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 15th, 2020 |
| Last updated | Jan 1st, 2024 - about 11 months 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 | 1184232126 | NPPES |
| North Carolina | Other | C63644 | COSMETOLOGY LICENSE |
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