Williams, Alicia M
Williams, Alicia M is an individual health care provider with primary practice located at 1722 Shaffer St Suite 1, Kalamazoo MI 49048-1633. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Williams, Alicia M can be contacted via phone (269) 381-3963.Contact Information
Primary practice address
1722 Shaffer St Suite 1
Kalamazoo MI 49048-1633
Phone: (269) 381-3963
Fax: (269) 381-2809
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 5101009594 | Michigan |
Profile Details
| NPI number | 1649256314 |
|---|---|
| LBN Legal business name | Williams, Alicia M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1649256314 | NPPES |
| Michigan | MEDICAID | 3190526 |
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