Eldridge, William James

Eldridge, William James is an individual health care provider with primary practice located at 6610 Palisades Dr , Texarkana TX 75503-4972. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Eldridge, William James can be contacted via phone (903) 908-4475.

Contact Information

Primary practice address
6610 Palisades Dr Texarkana TX 75503-4972
Phone: (903) 908-4475
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1194146100
LBN Legal business name Eldridge, William James
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2013
Last updated Dec 17th, 2013 - about 12 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 1194146100 NPPES
Oklahoma MEDICAID 200111200A

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