Wilson, Paul J.

Wilson, Paul J. is an individual health care provider with primary practice located at 1931 Center St , Berkeley CA 94704-1105. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Wilson, Paul J. can be contacted via phone (510) 666-9552.

Contact Information

Primary practice address
1931 Center St Berkeley CA 94704-1105
Phone: (510) 666-9552
Fax: (510) 666-0987
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1942405444
LBN Legal business name Wilson, Paul J.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2007
Last updated Jul 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942405444 NPPES
California Other 61025 AC BHCS CLINICIAN #

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