Wilson, Earthern Herman

Wilson, Earthern Herman is an individual health care provider with primary practice located at 740 Beck Ave , Fairfield CA 94533-4440. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Wilson, Earthern Herman can be contacted via phone (707) 784-6570.

Contact Information

Primary practice address
740 Beck Ave Fairfield CA 94533-4440
Phone: (707) 784-6570
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1972665123
LBN Legal business name Wilson, Earthern Herman
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Jul 8th, 2007 - about 18 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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