Williams, John S
Williams, John S is an individual health care provider with primary practice located at 2550 University Avenue West Suite 310N The Court International Building, St Paul MN 55114. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Williams, John S can be contacted via phone (651) 379-5157.Contact Information
Primary practice address
2550 University Avenue West Suite 310N The Court International Building
St Paul MN 55114
Phone: (651) 379-5157
Fax: (651) 379-5159
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP2293 | Minnesota |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP2293 | Minnesota |
Profile Details
| NPI number | 1376600742 |
|---|---|
| LBN Legal business name | Williams, John S |
| Credentials | LIC PSYCHOLOGIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1376600742 | NPPES |
| Minnesota | Other | 444T4WI | BCBS |
| Minnesota | Other | HP20649 | BCBS |
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