Wilson, Elizabeth Kathleen

Wilson, Elizabeth Kathleen is an individual health care provider with primary practice located at 6330 Thornton Ave , Newark CA 94560-3734. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Wilson, Elizabeth Kathleen can be contacted via phone (510) 792-4357.

Contact Information

Primary practice address
6330 Thornton Ave Newark CA 94560-3734
Phone: (510) 792-4357
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X California

Profile Details

NPI number 1023228442
LBN Legal business name Wilson, Elizabeth Kathleen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Apr 1st, 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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