Donald, Willie Timothy

Donald, Willie Timothy is an individual health care provider with primary practice located at 4755 Jefferson St , Gary IN 46408-4530. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Donald, Willie Timothy can be contacted via phone (219) 344-8909.

Contact Information

Primary practice address
4755 Jefferson St Gary IN 46408-4530
Phone: (219) 344-8909
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1366931156
LBN Legal business name Donald, Willie Timothy
Credentials TECHNICIAN
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2018
Last updated May 7th, 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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