Williams, Daniel Edwin

Williams, Daniel Edwin is an sole proprietor health care provider with primary practice located at 185 Central Ave Ste 615 , East Orange NJ 07018-3319. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Williams, Daniel Edwin can be contacted via phone (973) 675-9200.

Contact Information

Primary practice address
185 Central Ave Ste 615 East Orange NJ 07018-3319
Fax: (973) 678-8432
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 897 New Jersey

Profile Details

NPI number 1437162831
LBN Legal business name Williams, Daniel Edwin
Credentials PH.D., ABPP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2006
Last updated Jul 9th, 2007 - 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 1437162831 NPPES
New Jersey MEDICAID 0492400

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