Wilson, Mark
Wilson, Mark is an individual health care provider with primary practice located at 1101 Grade Ln 123 Special Tactics, Louisville KY 40213-2673. He recently has only one registered license in Other Service Providers / Independent Duty Medical Technicians, which is considered as his primary health care specialty. Wilson, Mark can be contacted via phone (502) 413-4836.Contact Information
Primary practice address
1101 Grade Ln 123 Special Tactics
Louisville KY 40213-2673
Phone: (502) 413-4836
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Medical Technicians | 1710I1003X |
Profile Details
| NPI number | 1518313089 |
|---|---|
| LBN Legal business name | Wilson, Mark |
| Credentials | IDMT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 13th, 2016 |
| Last updated | May 13th, 2016 - about 8 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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