Wilson, Joycelyn Y
Wilson, Joycelyn Y is an individual health care provider with primary practice located at 1500 North Ritter Avenue , Indianapolis IN 46219-3027. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Wilson, Joycelyn Y can be contacted via phone (317) 355-2560.Contact Information
Primary practice address
1500 North Ritter Avenue
Indianapolis IN 46219-3027
Phone: (317) 355-2560
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 101YS0200X | Indiana |
Profile Details
| NPI number | 1790917060 |
|---|---|
| LBN Legal business name | Wilson, Joycelyn Y |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2009 |
| Last updated | Aug 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790917060 | NPPES |
| Indiana | MEDICAID | 100270530 |
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