Williams, Carl Marc
Williams, Carl Marc is an individual health care provider with primary practice located at 11104 Parkview Circle Dr , Fort Wayne IN 46845-1672. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Williams, Carl Marc can be contacted via phone (260) 373-9700.Contact Information
Primary practice address
11104 Parkview Circle Dr
Fort Wayne IN 46845-1672
Phone: (260) 373-9700
Fax: (260) 373-9740
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 016380 | Maine |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | MD434996 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 60181-20 | Wisconsin |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 01064129A | Indiana |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 016380 | Maine |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD434996 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 60181 | Wisconsin |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 60181-20 | Wisconsin |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 01064129A | Indiana |
Profile Details
| NPI number | 1003971490 |
|---|---|
| LBN Legal business name | Williams, Carl Marc |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 26th, 2006 |
| Last updated | Aug 29th, 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 | 1003971490 | NPPES |
| Pennsylvania | Other | 2051760 | HIGHMARK BLUE SHIELD |
| Pennsylvania | MEDICAID | 200869120 | HIGHMARK BLUE SHIELD |
| Pennsylvania | MEDICAID | 1003971490 | HIGHMARK BLUE SHIELD |
| Pennsylvania | MEDICAID | 1021751160001 | HIGHMARK BLUE SHIELD |
| Pennsylvania | Other | 000000528048 | HIGHMARK BLUE SHIELD |
| Pennsylvania | Other | 823273 | HIGHMARK BLUE SHIELD |
| Pennsylvania | Other | PENDING | HIGHMARK BLUE SHIELD |
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