Williams, Coreen J
Williams, Coreen J is an individual health care provider with primary practice located at 834 Sheridan St , Port Townsend WA 98368-2443. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Williams, Coreen J can be contacted via phone (360) 385-2200.Contact Information
Primary practice address
834 Sheridan St
Port Townsend WA 98368-2443
Phone: (360) 385-2200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | CW151039 | Michigan |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP60576934 | Washington |
Profile Details
| NPI number | 1740236561 |
|---|---|
| LBN Legal business name | Williams, Coreen J |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | May 18th, 2023 - about last year |
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 | 1740236561 | NPPES |
| Michigan | MEDICAID | 4873484 | |
| Michigan | Other | 0F06016 | |
| Michigan | MEDICAID | 2142185 |
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