Wilson, Damariun

Wilson, Damariun is an individual health care provider with primary practice located at 2441 21St St , Fort Campbell KY 42223-5582. He recently has only one registered license in Dental Providers / Dental Assistant, which is considered as his primary health care specialty. Wilson, Damariun can be contacted via phone (270) 798-8751.

Contact Information

Primary practice address
2441 21St St Fort Campbell KY 42223-5582
Phone: (270) 798-8751
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X

Profile Details

NPI number 1689221665
LBN Legal business name Wilson, Damariun
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2019
Last updated Aug 23rd, 2019 - about 6 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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