Williams, Eddison
Williams, Eddison is an individual health care provider with primary practice located at 3214 E Race Ave , Searcy AR 72143-4810. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Williams, Eddison can be contacted via phone (423) 557-2329.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Arkansas |
Profile Details
| NPI number | 1487067807 |
|---|---|
| LBN Legal business name | Williams, Eddison |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2014 |
| Last updated | Oct 6th, 2020 - about 5 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 | 1487067807 | NPPES |
| Oklahoma | MEDICAID | 200305190B |
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