Williams, Charles Iokepa

Williams, Charles Iokepa is an individual health care provider with primary practice located at 1660 Hwy 100 South Suite 145, St. Louis Park MN 55416-1562. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Williams, Charles Iokepa can be contacted via phone (952) 456-6160.

Contact Information

Primary practice address
1660 Hwy 100 South Suite 145 St. Louis Park MN 55416-1562
Phone: (952) 456-6160
Fax: (952) 456-6184
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 166936-9 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R166936-9 Minnesota

Profile Details

NPI number 1659625879
LBN Legal business name Williams, Charles Iokepa
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2012
Last updated Apr 19th, 2013 - about 12 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 1659625879 NPPES
Minnesota Other 500008394 MEDICAL PTAN
Minnesota Other C09271 MEDICAL PTAN

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