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
Phone: (212) 966-1288
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 7 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 | 1235648395 | NPPES |
| New York | MEDICAID | 05103177 |
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