Wilson, Octavia

Wilson, Octavia is an individual health care provider with primary practice located at 181 Stiles St Apt A17 , Elizabeth NJ 07208-1835. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Wilson, Octavia can be contacted via phone (202) 321-9860.

Contact Information

Primary practice address
181 Stiles St Apt A17 Elizabeth NJ 07208-1835
Phone: (202) 321-9860
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1861023681
LBN Legal business name Wilson, Octavia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2020
Last updated Jan 30th, 2020 - about 4 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.

Request for update

Popular Providers