Wilson, David Allen Vernon

Wilson, David Allen Vernon is an sole proprietor health care provider with primary practice located at 3010 E State Blvd , Fort Wayne IN 46805-4700. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Wilson, David Allen Vernon can be contacted via phone (260) 471-2300.

Contact Information

Primary practice address
3010 E State Blvd Fort Wayne IN 46805-4700
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1407003726
LBN Legal business name Wilson, David Allen Vernon
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2008
Last updated Aug 19th, 2008 - about 16 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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