Williams, Beverly A

Williams, Beverly A is an individual health care provider with primary practice located at 3535 Southern Blvd , Kettering OH 45429-1221. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Emergency Medical Service Providers / Personal Emergency Response Attendant. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Williams, Beverly A can be contacted via phone (937) 395-8166.

Contact Information

Primary practice address
3535 Southern Blvd Kettering OH 45429-1221
Phone: (937) 395-8166
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35083040 Ohio
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X 35083040 Ohio

Profile Details

NPI number 1710965249
LBN Legal business name Williams, Beverly A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated May 6th, 2020 - 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 1710965249 NPPES
Ohio Other 4120946 MEDICARE PTAN
Ohio Other H019120 MEDICARE PTAN
Ohio MEDICAID 2453385 MEDICARE PTAN

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