Wilson, Shelia

Wilson, Shelia is an individual health care provider with primary practice located at 904 E. Martin Luther King , Centralia IL 62801-3058. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Wilson, Shelia can be contacted via phone (618) 533-1391.

Contact Information

Primary practice address
904 E. Martin Luther King Centralia IL 62801-3058
Phone: (618) 533-1391
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1518411131
LBN Legal business name Wilson, Shelia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2016
Last updated Aug 11th, 2016 - about 8 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 1518411131 NPPES
Illinois MEDICAID 370915481007

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