Williams, Tijuana
Williams, Tijuana is an sole proprietor health care provider with primary practice located at 700 Sw Penn Ave , Bartlesville OK 74003-3847. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Williams, Tijuana can be contacted via phone (918) 337-8080.Contact Information
Primary practice address
700 Sw Penn Ave
Bartlesville OK 74003-3847
Phone: (918) 337-8080
Fax: (918) 337-8099
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1467704445 |
|---|---|
| LBN Legal business name | Williams, Tijuana |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 15th, 2012 |
| Last updated | Oct 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467704445 | NPPES |
| Oklahoma | MEDICAID | 200287120A |
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