Individual
JERONE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
349 JACKSON AVE, BREAKTHROUGH BELIEVERS, MUSKEGON, MI 49442-1114
(231) 343-2753
Mailing address
349 JACKSON AVE, BREAKTHROUGH BELIEVERS, MUSKEGON, MI 49442-1114
(231) 343-2753
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
MI
171W00000X
Contractor
—
MI
172V00000X
Community Health Worker
Primary
—
MI
174H00000X
Health Educator
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376866160
—
MI
Enumeration date
08/05/2014
Last updated
08/05/2014
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