Williams, Anthony Dwayne
Williams, Anthony Dwayne is an sole proprietor health care provider with primary practice located at 23077 Greenfield Rd Ste 231, Southfield MI 48075-3709. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Williams, Anthony Dwayne can be contacted via phone (248) 569-2160.Contact Information
Primary practice address
23077 Greenfield Rd Ste 231
Southfield MI 48075-3709
Phone: (248) 569-2160
Fax: (248) 569-5756
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 4301062274 | Michigan |
Profile Details
| NPI number | 1245246354 |
|---|---|
| LBN Legal business name | Williams, Anthony Dwayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Oct 27th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245246354 | NPPES |
| Michigan | Other | 0N16240 | MEDICARE PTAN |
| Michigan | MEDICAID | 4221369 | MEDICARE PTAN |
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