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:
Health care specialties
Specialty | Code | License # | 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 14 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 | 1154381382 | NPPES |
Georgia | MEDICAID | 000895903A | |
Georgia | MEDICAID | 000895903B | |
Georgia | MEDICAID | 6001505-00 |
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