Wilson, Glenn David
Wilson, Glenn David is an sole proprietor health care provider with primary practice located at 1435 N Oakland Blvd , Waterford MI 48327-1549. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Wilson, Glenn David can be contacted via phone (248) 406-0090.Contact Information
Primary practice address
1435 N Oakland Blvd
Waterford MI 48327-1549
Phone: (248) 406-0090
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1831294297 |
|---|---|
| LBN Legal business name | Wilson, Glenn David |
| Credentials | MS,CAC1,ADOA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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