Wilson, Coreen

Wilson, Coreen is an sole proprietor health care provider with primary practice located at 4401 Wildwood Dr , Shreveport LA 71119-8611. She recently has only one registered license in Transportation Services / Transportation Broker, which is considered as her primary health care specialty. Wilson, Coreen can be contacted via phone (318) 210-5187.

Contact Information

Primary practice address
4401 Wildwood Dr Shreveport LA 71119-8611
Phone: (318) 210-5187
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Transportation Broker 347E00000X

Profile Details

NPI number 1114502093
LBN Legal business name Wilson, Coreen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2021
Last updated Mar 12th, 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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