Williams, Clyde H

Williams, Clyde H is an individual health care provider with primary practice located at 2222 N Nevada Ave Suite 4004, Colorado Springs CO 80907-6832. 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, Clyde H can be contacted via phone (719) 471-7064.

Contact Information

Primary practice address
2222 N Nevada Ave Suite 4004 Colorado Springs CO 80907-6832
Phone: (719) 471-7064
Fax: (719) 776-5459
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 21615 Colorado
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 21615 Colorado

Profile Details

NPI number 1548329634
LBN Legal business name Williams, Clyde H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Jan 12th, 2012 - 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 1548329634 NPPES
Colorado Other 290000688 RAILROAD MEDICARE
Colorado MEDICAID 01216159 RAILROAD MEDICARE

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