Williams, John Eustis

Williams, John Eustis is an individual health care provider with primary practice located at 1310 Solar Dr , Waterloo IA 50701-2463. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Williams, John Eustis can be contacted via phone (319) 232-2086.

Contact Information

Primary practice address
1310 Solar Dr Waterloo IA 50701-2463
Phone: (319) 232-2086
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 00960 Iowa
Behavioral Health & Social Service Providers / Health 103TH0004X 000498 Iowa

Profile Details

NPI number 1346277829
LBN Legal business name Williams, John Eustis
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Apr 12th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346277829 NPPES
Iowa MEDICAID 0401063

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