Williams, Dewayne R

Williams, Dewayne R is an individual health care provider with primary practice located at 1050 Delaware Ave , Marion OH 43302-6416. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Williams, Dewayne R can be contacted via phone (740) 383-7778.

Contact Information

Primary practice address
1050 Delaware Ave Marion OH 43302-6416
Fax: (740) 383-7942
Website:

Health care specialties

Profile Details

NPI number 1790727915
LBN Legal business name Williams, Dewayne R
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Oct 7th, 2014 - about 11 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 1790727915 NPPES
Ohio MEDICAID 2638391

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