Wilson, John

Wilson, John is an individual health care provider with primary practice located at 201 W Springdale Ave , Knoxville TN 37917-5158. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Wilson, John can be contacted via phone (865) 637-9711.

Contact Information

Primary practice address
201 W Springdale Ave Knoxville TN 37917-5158
Phone: (865) 637-9711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA47923 Florida
Other Service Providers / Peer Specialist 175T00000X 000-1216 Tennessee

Profile Details

NPI number 1982765772
LBN Legal business name Wilson, John
Credentials CPRS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Jul 2nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1982765772 NPPES
Florida Other C4119 BLUE CROSS PROVIDER

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