Wilson, Sandra Marie

Wilson, Sandra Marie is an individual health care provider with primary practice located at 1233 Southwest Ave , Johnson City TN 37604-6596. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Wilson, Sandra Marie can be contacted via phone (423) 979-4594.

Contact Information

Primary practice address
1233 Southwest Ave Johnson City TN 37604-6596
Phone: (423) 979-4594
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X DH0000003997 Tennessee

Profile Details

NPI number 1205990561
LBN Legal business name Wilson, Sandra Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Jul 8th, 2007 - about 18 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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