Bristol, Joann
Bristol, Joann is an sole proprietor health care provider with primary practice located at 900 Austin Ave Ste. 1103, Waco TX 76701-1902. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bristol, Joann can be contacted via phone (254) 757-1191.Contact Information
Primary practice address
900 Austin Ave Ste. 1103
Waco TX 76701-1902
Phone: (254) 757-1191
Fax: (254) 757-1150
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 17642 | Texas |
Profile Details
| NPI number | 1679609291 |
|---|---|
| LBN Legal business name | Bristol, Joann |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Feb 7th, 2012 - about 13 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 | 1679609291 | NPPES |
| Texas | MEDICAID | 040681102 |
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