Wilson, Tyrolia Dejuan

Wilson, Tyrolia Dejuan is an individual health care provider with primary practice located at 1121 N 5Th St , Kansas City KS 66101-2305. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Wilson, Tyrolia Dejuan can be contacted via phone (913) 831-2820.

Contact Information

Primary practice address
1121 N 5Th St Kansas City KS 66101-2305
Phone: (913) 831-2820
Fax: (913) 831-0262
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 949 Kansas

Profile Details

NPI number 1588194450
LBN Legal business name Wilson, Tyrolia Dejuan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2017
Last updated Jun 14th, 2017 - about 7 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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