Wilson, Evet A

Wilson, Evet A is an individual health care provider with primary practice located at 245 W Race St , Somerset PA 15501-1922. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Wilson, Evet A can be contacted via phone (814) 443-4891.

Contact Information

Primary practice address
245 W Race St Somerset PA 15501-1922
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1922620475
LBN Legal business name Wilson, Evet A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2020
Last updated May 7th, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1922620475 NPPES
Pennsylvania MEDICAID 1558367185
Pennsylvania MEDICAID 1558267185

Popular Providers