Williams, Brian D

Williams, Brian D is an individual health care provider with primary practice located at 1000 E Primrose St , Springfield MO 65807-5154. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Williams, Brian D can be contacted via phone (417) 269-9812.

Contact Information

Primary practice address
1000 E Primrose St Springfield MO 65807-5154
Phone: (417) 269-9812
Fax: (417) 269-9853
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2004014290 Missouri

Profile Details

NPI number 1073578159
LBN Legal business name Williams, Brian D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Jun 5th, 2023 - about last year

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 1073578159 NPPES
Missouri MEDICAID 209128503

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