Wilson, Thomas A

Wilson, Thomas A is an individual health care provider with primary practice located at 710 Main St , Coshocton OH 43812-1615. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Wilson, Thomas A can be contacted via phone (740) 622-4470.

Contact Information

Primary practice address
710 Main St Coshocton OH 43812-1615
Fax: (740) 622-5580
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C.1200376 Ohio

Profile Details

NPI number 1720522279
LBN Legal business name Wilson, Thomas A
Credentials MED, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2016
Last updated Nov 25th, 2020 - about 4 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 1720522279 NPPES
Ohio MEDICAID 0262491

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