Wilson, Stephanie Ivy

Wilson, Stephanie Ivy is an individual health care provider with primary practice located at 3091 College Park Dr Suite #125, Conroe TX 77384-8023. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Wilson, Stephanie Ivy can be contacted via phone (832) 326-3286.

Contact Information

Primary practice address
3091 College Park Dr Suite #125 Conroe TX 77384-8023
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 27056 Texas

Profile Details

NPI number 1396031654
LBN Legal business name Wilson, Stephanie Ivy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2011
Last updated Sep 1st, 2011 - about 13 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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