Williams, John S

Williams, John S is an individual health care provider with primary practice located at 2550 University Avenue West Suite 310N The Court International Building, St Paul MN 55114. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Williams, John S can be contacted via phone (651) 379-5157.

Contact Information

Primary practice address
2550 University Avenue West Suite 310N The Court International Building St Paul MN 55114
Phone: (651) 379-5157
Fax: (651) 379-5159
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP2293 Minnesota
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP2293 Minnesota

Profile Details

NPI number 1376600742
LBN Legal business name Williams, John S
Credentials LIC PSYCHOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Jul 8th, 2007 - about 17 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 1376600742 NPPES
Minnesota Other 444T4WI BCBS
Minnesota Other HP20649 BCBS

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