Wilson, Shakia

Wilson, Shakia is an individual health care provider with primary practice located at 6104 Old Branch Ave , Temple Hills MD 20748-2557. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Wilson, Shakia can be contacted via phone (301) 702-6175.

Contact Information

Primary practice address
6104 Old Branch Ave Temple Hills MD 20748-2557
Phone: (301) 702-6175
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X T13475 Maryland
Pharmacy Service Providers / Pharmacy Technician 183700000X 10049912 Maryland

Profile Details

NPI number 1366932477
LBN Legal business name Wilson, Shakia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2018
Last updated May 14th, 2018 - about 6 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 1366932477 NPPES
Maryland Other 10049912 PTCB/CPHT

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