Church, John R.

Church, John R. is an sole proprietor health care provider with primary practice located at 847 W 4Th St , Waterloo IA 50702-2141. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Church, John R. can be contacted via phone (319) 215-8197.

Contact Information

Primary practice address
847 W 4Th St Waterloo IA 50702-2141
Phone: (319) 215-8197
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 001065 Iowa

Profile Details

NPI number 1093048282
LBN Legal business name Church, John R.
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2009
Last updated Sep 19th, 2018 - about 8 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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