Wellborn, William
Wellborn, William is an individual health care provider with primary practice located at 3 Riverside Cir , Roanoke VA 24016-4955. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wellborn, William can be contacted via phone (540) 526-1364.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0810-002556 | Virginia |
Profile Details
NPI number | 1467432450 |
---|---|
LBN Legal business name | Wellborn, William |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 18th, 2006 |
Last updated | Oct 18th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1467432450 | NPPES |
Virginia | MEDICAID | 7709129 |
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