Wilson, Gretchen M
Wilson, Gretchen M is an sole proprietor health care provider with primary practice located at 5440 Copper Springs Ln , Cumming GA 30040-5626. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Wilson, Gretchen M can be contacted via phone (704) 756-9324.Contact Information
Primary practice address
5440 Copper Springs Ln
Cumming GA 30040-5626
Phone: (704) 756-9324
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 3578 | North Carolina |
Profile Details
| NPI number | 1497731012 |
|---|---|
| LBN Legal business name | Wilson, Gretchen M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 15th, 2005 |
| Last updated | Aug 13th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497731012 | NPPES |
| North Carolina | MEDICAID | 7475056 |
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