Williams, Charles

Williams, Charles is an individual health care provider with primary practice located at 1535 River Parkway Blvd #1108, Shreveport LA 71104-1808. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Williams, Charles can be contacted via phone (318) 828-1500.

Contact Information

Primary practice address
1535 River Parkway Blvd #1108 Shreveport LA 71104-1808
Phone: (318) 828-1500
Fax: (318) 670-6736
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X 2380885 Louisiana

Profile Details

NPI number 1104285287
LBN Legal business name Williams, Charles
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2016
Last updated Feb 17th, 2016 - about 8 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 1104285287 NPPES
Louisiana MEDICAID 2380885

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