Williams, Richard L

Williams, Richard L is an individual health care provider with primary practice located at 3136 Craig Road , Eau Claire WI 54701. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Williams, Richard L can be contacted via phone (715) 835-9110.

Contact Information

Primary practice address
3136 Craig Road Eau Claire WI 54701
Phone: (715) 835-9110
Fax: (715) 830-4098
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 11548 Wisconsin

Profile Details

NPI number 1780745109
LBN Legal business name Williams, Richard L
Credentials CADC III, NCGC II
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
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 1780745109 NPPES
Wisconsin Other 22044 ICADC
Wisconsin Other 545 ICADC

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