Wilson, Michale Lake
Wilson, Michale Lake is an individual health care provider with primary practice located at 1201 N Westover Blvd , Albany GA 31707-6600. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Wilson, Michale Lake can be contacted via phone (229) 888-2072.Contact Information
Primary practice address
1201 N Westover Blvd
Albany GA 31707-6600
Phone: (229) 888-2072
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 101YS0200X |
Profile Details
| NPI number | 1154109676 |
|---|---|
| LBN Legal business name | Wilson, Michale Lake |
| Credentials | LDO |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 18th, 2023 |
| Last updated | Sep 18th, 2023 - about last year |
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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