Williams, Elijah Lewis
Williams, Elijah Lewis is an sole proprietor health care provider with primary practice located at 9201 Montgomery Blvd Ne Bldg 5 , Albuquerque NM 87111-2468. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Williams, Elijah Lewis can be contacted via phone (505) 217-1717.Contact Information
Primary practice address
9201 Montgomery Blvd Ne Bldg 5
Albuquerque NM 87111-2468
Phone: (505) 217-1717
Fax: (505) 213-0041
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | 1123 | New Mexico |
Profile Details
| NPI number | 1376127589 |
|---|---|
| LBN Legal business name | Williams, Elijah Lewis |
| Credentials | CPSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 12th, 2021 |
| Last updated | May 12th, 2021 - about 3 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 | 1376127589 | NPPES |
| New Mexico | MEDICAID | 1629494760 |
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