Powell, William

Powell, William is an sole proprietor health care provider with primary practice located at 2130 Millburn Ave Suite D1, Maplewood NJ 07040-3725. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Powell, William can be contacted via phone (973) 763-8123.

Contact Information

Primary practice address
2130 Millburn Ave Suite D1 Maplewood NJ 07040-3725
Phone: (973) 763-8123
Fax: (973) 763-8243
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X SC12965 New Jersey

Profile Details

NPI number 1922158146
LBN Legal business name Powell, William
Credentials MSW PA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2007
Last updated Jun 24th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922158146 NPPES
New Jersey Other 223167686 TAX ID

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