Williams, David

Williams, David is an sole proprietor health care provider with primary practice located at 201 Brookside Ave Unit 744 , Redlands CA 92373-2530. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Williams, David can be contacted via phone (909) 335-5500.

Contact Information

Primary practice address
201 Brookside Ave Unit 744 Redlands CA 92373-2530
Phone: (909) 335-5500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 57409 California

Profile Details

NPI number 1336706530
LBN Legal business name Williams, David
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2019
Last updated Sep 26th, 2023 - about 2 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 1336706530 NPPES
California MEDICAID DCWILLIAMS19

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