Wilson, Larry
Wilson, Larry is an sole proprietor health care provider with primary practice located at 15719 Crabbs Branch Way , Rockville MD 20855-2634. 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, Larry can be contacted via phone (301) 670-6161.Contact Information
Primary practice address
15719 Crabbs Branch Way
Rockville MD 20855-2634
Phone: (301) 670-6161
Fax: (201) 670-6163
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LCA461 | Maryland |
Profile Details
| NPI number | 1730571696 |
|---|---|
| LBN Legal business name | Wilson, Larry |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 2nd, 2015 |
| Last updated | Mar 2nd, 2015 - about 9 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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