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Contact Information

MELISSA B WILSON, M.SC., L.AC., DIPL.
155A KENTUCKY STREET
PETALUMA, CA94952
 Phone: 707-280-5602
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for MELISSA B WILSON · (Female)

NPI # 1497051783
Status Active
Credentials M.SC., L.AC., DIPL.
Entity Individual
Enumeration date 02/03/2011
Last updated 02/03/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # AC5984
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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