Jones, Robert Lloyd
Jones, Robert Lloyd is an sole proprietor health care provider with primary practice located at 2129 South Oneida Street Suite 115, Green Bay WI 54304. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Jones, Robert Lloyd can be contacted via phone (920) 661-0884.Contact Information
Primary practice address
2129 South Oneida Street Suite 115
Green Bay WI 54304
Phone: (920) 661-0884
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 14060131 | Wisconsin |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 682125 | Wisconsin |
Profile Details
| NPI number | 1568683670 |
|---|---|
| LBN Legal business name | Jones, Robert Lloyd |
| Credentials | M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 2nd, 2007 |
| Last updated | Apr 10th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568683670 | NPPES |
| Minnesota | Other | CASC2865 | CERT. ADDICTIONS SPEC. |
| Minnesota | Other | LPC682-125 | CERT. ADDICTIONS SPEC. |
| Minnesota | Other | CADCD14060 | CERT. ADDICTIONS SPEC. |
| Minnesota | MEDICAID | 39278600 | CERT. ADDICTIONS SPEC. |
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