Pierce, William L.

Pierce, William L. is an individual health care provider with primary practice located at 3101 Fields South Dr , Champaign IL 61822-3743. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Pierce, William L. can be contacted via phone (217) 366-5418.

Contact Information

Primary practice address
3101 Fields South Dr Champaign IL 61822-3743
Phone: (217) 366-5418
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016003699 Illinois

Profile Details

NPI number 1063420461
LBN Legal business name Pierce, William L.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Jan 6th, 2022 - about 2 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 1063420461 NPPES
Illinois MEDICAID 016003699 1
Illinois Other 480007534
Illinois Other 909010

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