Williams, Dwight Marshall
Williams, Dwight Marshall is an individual health care provider with primary practice located at 4000 Linwood Dr Suite A, Paragould AR 72450-7223. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Williams, Dwight Marshall can be contacted via phone (870) 239-8503.Contact Information
Primary practice address
4000 Linwood Dr Suite A
Paragould AR 72450-7223
Phone: (870) 239-8503
Fax: (870) 240-2015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | C5719 | Arkansas |
Profile Details
| NPI number | 1619930591 |
|---|---|
| LBN Legal business name | Williams, Dwight Marshall |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2006 |
| Last updated | Mar 31st, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619930591 | NPPES |
| Arkansas | Other | 13496000040 | QUALCHOICE |
| Arkansas | MEDICAID | 102571001 | QUALCHOICE |
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