Williams, Blake Anthony
Williams, Blake Anthony is an individual health care provider with primary practice located at 901 Se Plaza Ave Suite 5, Bentonville AR 72712-5697. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Williams, Blake Anthony can be contacted via phone (479) 273-3376.Contact Information
Primary practice address
901 Se Plaza Ave Suite 5
Bentonville AR 72712-5697
Phone: (479) 273-3376
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | E-9143 | Arkansas |
Profile Details
| NPI number | 1194082057 |
|---|---|
| LBN Legal business name | Williams, Blake Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2012 |
| Last updated | Nov 23rd, 2022 - 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.
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