Williams, Dol-Keith

Williams, Dol-Keith is an sole proprietor health care provider with primary practice located at 440 Nuber Ave , Mount Vernon NY 10553-1915. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Williams, Dol-Keith can be contacted via phone (914) 664-4209.

Contact Information

Primary practice address
440 Nuber Ave Mount Vernon NY 10553-1915
Phone: (914) 664-4209
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 243489 New York

Profile Details

NPI number 1598965063
LBN Legal business name Williams, Dol-Keith
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 23rd, 2007
Last updated Jul 23rd, 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 1598965063 NPPES
New York MEDICAID 01917519

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