Wilson, Phillip E

Wilson, Phillip E is an individual health care provider with primary practice located at 801 Jefferson St Ste 45&6 , Fairfield CA 94533-5557. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Wilson, Phillip E can be contacted via phone (707) 720-3869.

Contact Information

Primary practice address
801 Jefferson St Ste 45&6 Fairfield CA 94533-5557
Phone: (707) 720-3869
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1912543273
LBN Legal business name Wilson, Phillip E
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2019
Last updated Nov 21st, 2019 - about 5 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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