Williams, Angelique Nicole

Williams, Angelique Nicole is an individual health care provider with primary practice located at 655 W 8Th St Ufjp Eip Pediatrics, Jacksonville FL 32209-6511. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Williams, Angelique Nicole can be contacted via phone (904) 244-7262.

Contact Information

Primary practice address
655 W 8Th St Ufjp Eip Pediatrics Jacksonville FL 32209-6511
Phone: (904) 244-7262
Fax: (904) 798-4546
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AY643 Florida

Profile Details

NPI number 1154381382
LBN Legal business name Williams, Angelique Nicole
Credentials AUDIOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Dec 7th, 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 1154381382 NPPES
Georgia MEDICAID 000895903A
Georgia MEDICAID 000895903B
Georgia MEDICAID 6001505-00

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