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
Fax: (918) 337-8099
Website:

Health care specialties

SpecialtyCodeLicense #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 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 1467704445 NPPES
Oklahoma MEDICAID 200287120A

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