Williams, Brian P

Williams, Brian P is an individual health care provider with primary practice located at 1230 E Main St Mankato Clinic @ Main Street, Mankato MN 56002-8674. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Williams, Brian P can be contacted via phone (507) 625-1811.

Contact Information

Primary practice address
1230 E Main St Mankato Clinic @ Main Street Mankato MN 56002-8674
Phone: (507) 625-1811
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 46643 Minnesota

Profile Details

NPI number 1578542494
LBN Legal business name Williams, Brian P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Jul 15th, 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 1578542494 NPPES
Minnesota Other 1202900 MEDICA
Minnesota MEDICAID 874620600 MEDICA
Minnesota Other HP42383 MEDICA
Minnesota Other NA2951041222 MEDICA
Minnesota Other 513R8WI MEDICA
Minnesota Other 2361648 MEDICA
Minnesota Other 410849339 56001 C211 MEDICA
Minnesota Other 1203326 MEDICA
Minnesota MEDICAID 0593087 MEDICA
Minnesota Other 131477 MEDICA

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