White, William Roger
White, William Roger is an sole proprietor health care provider with primary practice located at 712 E Empire St , Bloomington IL 61701-3252. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. White, William Roger can be contacted via phone (309) 287-9464.Contact Information
Primary practice address
712 E Empire St
Bloomington IL 61701-3252
Phone: (309) 287-9464
Fax: (309) 827-7576
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149004861 | Illinois |
Profile Details
| NPI number | 1356521280 |
|---|---|
| LBN Legal business name | White, William Roger |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2007 |
| Last updated | Feb 7th, 2011 - about 14 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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