Oberg, William Clayton

Oberg, William Clayton is an individual health care provider with primary practice located at 1911 Pleasant Ave. South Create, Inc, Minneapolis MN 55403. 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. Oberg, William Clayton can be contacted via phone (612) 874-9811.

Contact Information

Primary practice address
1911 Pleasant Ave. South Create, Inc Minneapolis MN 55403
Phone: (612) 874-9811
Fax: (612) 874-9820
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 301760 Minnesota

Profile Details

NPI number 1982881918
LBN Legal business name Oberg, William Clayton
Credentials LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2008
Last updated Jan 22nd, 2008 - about 18 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 1982881918 NPPES
Minnesota Other 301760 LADC

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