Williams, Andrea

Williams, Andrea is an individual health care provider with primary practice located at 22837 Avalon St , Saint Clair Shores MI 48080-2468. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Williams, Andrea can be contacted via phone (586) 899-1950.

Contact Information

Primary practice address
22837 Avalon St Saint Clair Shores MI 48080-2468
Phone: (586) 899-1950
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9105695 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601007402 Michigan

Profile Details

NPI number 1083915052
LBN Legal business name Williams, Andrea
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2010
Last updated Sep 20th, 2019 - about 5 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 1083915052 NPPES
Florida Other DZ831Z MEDICARE
Florida Other P00878021 MEDICARE
Florida MEDICAID 002913600 MEDICARE

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