Williams, Kejuan Sullivan

Williams, Kejuan Sullivan is an individual health care provider with primary practice located at 690 Dixie Hwy , Rossford OH 43460-1221. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Nursing Service Related Providers / Attendant Care Provider. Nursing Service Related Providers / Attendant Care Provider is his primary health care specialty. Williams, Kejuan Sullivan can be contacted via phone (614) 844-3800.

Contact Information

Primary practice address
690 Dixie Hwy Rossford OH 43460-1221
Phone: (614) 844-3800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Nursing Service Related Providers / Attendant Care Provider 3747A0650X

Profile Details

NPI number 1003381567
LBN Legal business name Williams, Kejuan Sullivan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2018
Last updated Aug 28th, 2022 - about 3 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 1003381567 NPPES
Michigan Other W452465778878 DRIVERS LICENSE NUMBER
Michigan MEDICAID 2615030 DRIVERS LICENSE NUMBER

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