Williams, Gloria Jeanne
Williams, Gloria Jeanne is an individual health care provider with primary practice located at 1601 E Fourth Plain Blvd , Vancouver WA 98661-3753. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Williams, Gloria Jeanne can be contacted via phone (360) 397-4286.Contact Information
Primary practice address
1601 E Fourth Plain Blvd
Vancouver WA 98661-3753
Phone: (360) 397-4286
Fax: (360) 397-8450
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Community Health Worker | 172V00000X | CP60026470 | Washington |
Profile Details
NPI number | 1477712941 |
---|---|
LBN Legal business name | Williams, Gloria Jeanne |
Credentials | CDP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 9th, 2008 |
Last updated | Jun 11th, 2013 - about 11 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 | 1477712941 | NPPES |
Washington | Other | RC00055291 | CHEMICAL DEPENDENCY PROFESSIONAL |
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