Wilson, Mitchell David

Wilson, Mitchell David is an sole proprietor health care provider with primary practice located at 2960 Piedmont Ave , Berkeley CA 94705-2344. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Behavioral Health & Social Service Providers / Psychoanalyst. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Wilson, Mitchell David can be contacted via phone (510) 843-4660.

Contact Information

Primary practice address
2960 Piedmont Ave Berkeley CA 94705-2344
Phone: (510) 843-4660
Fax: (510) 843-4675
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X G56456 California
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X

Profile Details

NPI number 1992988612
LBN Legal business name Wilson, Mitchell David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 17th, 2007
Last updated Dec 18th, 2007 - about 17 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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