Wilson, John Roosevelt
Wilson, John Roosevelt is an sole proprietor health care provider with primary practice located at 1955 Ohio Dr , Grove City OH 43123-4835. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wilson, John Roosevelt can be contacted via phone (614) 257-5800.Contact Information
Primary practice address
1955 Ohio Dr
Grove City OH 43123-4835
Phone: (614) 257-5800
Fax: (614) 257-5801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I0600163 | Ohio |
Profile Details
| NPI number | 1093955775 |
|---|---|
| LBN Legal business name | Wilson, John Roosevelt |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 20th, 2009 |
| Last updated | Feb 20th, 2009 - about 15 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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