Bean, William J

Bean, William J is an individual health care provider with primary practice located at 636 New Loudon Rd , Latham NY 12110-4002. 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. Bean, William J can be contacted via phone (518) 783-5381.

Contact Information

Primary practice address
636 New Loudon Rd Latham NY 12110-4002
Fax: (518) 783-0125
Website:

Health care specialties

Profile Details

NPI number 1700025483
LBN Legal business name Bean, William J
Credentials MS, CASAC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2009
Last updated Feb 16th, 2012 - about 14 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 1700025483 NPPES
New York MEDICAID 01420800

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