Wilson, Misty Lea

Wilson, Misty Lea is an sole proprietor health care provider with primary practice located at 405 S Main St , Belle Rive IL 62810-1228. She recently has only one registered license in Nursing Service Related Providers / Attendant Care Provider, which is considered as her primary health care specialty. Wilson, Misty Lea can be contacted via phone (618) 316-1626.

Contact Information

Primary practice address
405 S Main St Belle Rive IL 62810-1228
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Attendant Care Provider 3747A0650X

Profile Details

NPI number 1568139095
LBN Legal business name Wilson, Misty Lea
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2021
Last updated Aug 24th, 2021 - about 3 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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