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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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