Jim, William L

Jim, William L is an individual health care provider with primary practice located at 139 Centre St Ste 814 , New York NY 10013. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as his primary health care specialty. Jim, William L can be contacted via phone (212) 966-1288.

Contact Information

Primary practice address
139 Centre St Ste 814 New York NY 10013
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X 021803-1 New York

Profile Details

NPI number 1235648395
LBN Legal business name Jim, William L
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2017
Last updated Aug 28th, 2018 - about 6 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 1235648395 NPPES
New York MEDICAID 05103177

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