Dominique Jamison-Willams

LBN: Dominique Jamison-Willams
Dominique Jamison-Willams is an health care organization with primary practice located at 6400 Arthur St , Merrillville IN 46410-3123. The organization recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as the primary health care specialty. Dominique Jamison-Willams can be contacted via phone (219) 981-8551, or through Jamisom-Williams, Dominique Lashanda via phone (219) 981-8551.

Contact Information

Primary practice address
6400 Arthur St Merrillville IN 46410-3123
Phone: (219) 981-8551
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jamisom-Williams, Dominique Lashanda MSOTR
Phone: (219) 981-8551

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X 31002428A Indiana

Profile Details

NPI number 1043478225
LBN Legal business name Dominique Jamison-Willams
DBA Doing business as
Authorized official Jamisom-Williams, Dominique Lashanda MSOTR
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2008
Last updated May 24th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043478225 NPPES
Indiana MEDICAID 200610120
Indiana MEDICAID 200708930

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