Williams, Jack

Williams, Jack is an sole proprietor health care provider with primary practice located at 687 Cheshire Ave , Eugene OR 97402-5060. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Other Service Providers / Community Health Worker. Other Service Providers / Peer Specialist is his primary health care specialty. Williams, Jack can be contacted via phone (541) 762-4409.

Contact Information

Primary practice address
687 Cheshire Ave Eugene OR 97402-5060
Phone: (541) 762-4409
Fax: (541) 344-0772
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1083014633
LBN Legal business name Williams, Jack
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2014
Last updated Sep 22nd, 2020 - about 5 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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