Pearson, William J
Pearson, William J is an sole proprietor health care provider with primary practice located at 264 Cradle Lake Dr , Divide CO 80814-9780. He recently has only one registered license in Other Service Providers / Home Modifications, which is considered as his primary health care specialty. Pearson, William J can be contacted via phone (719) 687-3412.Contact Information
Primary practice address
264 Cradle Lake Dr
Divide CO 80814-9780
Phone: (719) 687-3412
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Home Modifications | 171WH0202X |
Profile Details
| NPI number | 1770727471 |
|---|---|
| LBN Legal business name | Pearson, William J |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 24th, 2009 |
| Last updated | Apr 24th, 2009 - about 15 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 | 1770727471 | NPPES |
| Colorado | MEDICAID | 33188564 |
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