Liakos, William George

Liakos, William George is an individual health care provider with primary practice located at 813 N Washington Ave , Roswell NM 88201-3941. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Liakos, William George can be contacted via phone (575) 622-2606.

Contact Information

Primary practice address
813 N Washington Ave Roswell NM 88201-3941
Fax: (575) 622-6645
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 99-75 New Mexico

Profile Details

NPI number 1184676249
LBN Legal business name Liakos, William George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jun 6th, 2011 - about 13 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 1184676249 NPPES
New Mexico MEDICAID Z4477

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