Williams, Charles Wayne

Williams, Charles Wayne is an sole proprietor health care provider with primary practice located at 5040 Brabant Ct , Elk Grove CA 95757-3295. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as his primary health care specialty. Williams, Charles Wayne can be contacted via phone (916) 752-1273.

Contact Information

Primary practice address
5040 Brabant Ct Elk Grove CA 95757-3295
Phone: (916) 752-1273
Fax: (916) 676-4865
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 364SG0600X CNS1514 California

Profile Details

NPI number 1851455372
LBN Legal business name Williams, Charles Wayne
Credentials CNS.,NP.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2006
Last updated Apr 26th, 2008 - about 17 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 1851455372 NPPES
California MEDICAID CNS015140

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