Wilson, Douglas Alan
Wilson, Douglas Alan is an sole proprietor health care provider with primary practice located at 17224 Van Wagoner Rd , Spring Lake MI 49456-9702. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Wilson, Douglas Alan can be contacted via phone (231) 799-8182.Contact Information
Primary practice address
17224 Van Wagoner Rd
Spring Lake MI 49456-9702
Phone: (231) 799-8182
Fax: (616) 296-2148
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 6401012170 | Michigan |
Profile Details
| NPI number | 1174833750 |
|---|---|
| LBN Legal business name | Wilson, Douglas Alan |
| Credentials | MA, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 15th, 2010 |
| Last updated | Dec 3rd, 2015 - about 10 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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