Wilson, Michele

Wilson, Michele is an individual health care provider with primary practice located at 1516 Atwood Ave , Johnston RI 02919-3223. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Wilson, Michele can be contacted via phone (401) 724-8400.

Contact Information

Primary practice address
1516 Atwood Ave Johnston RI 02919-3223
Phone: (401) 724-8400
Fax: (401) 722-5280
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1003151457
LBN Legal business name Wilson, Michele
Credentials BACHELORS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2012
Last updated Dec 11th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003151457 NPPES
Rhode Island MEDICAID GH57134

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