Williams Gray, Akemie Edna
Williams Gray, Akemie Edna is an individual health care provider with primary practice located at 100 N 8Th St Ste 232 , East Saint Louis IL 62201-2989. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Williams Gray, Akemie Edna can be contacted via phone (618) 337-2597.Contact Information
Primary practice address
100 N 8Th St Ste 232
East Saint Louis IL 62201-2989
Phone: (618) 337-2597
Fax: (618) 337-2930
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD60107061 | Washington |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036131750 | Illinois |
Profile Details
| NPI number | 1972703056 |
|---|---|
| LBN Legal business name | Williams Gray, Akemie Edna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2007 |
| Last updated | Mar 22nd, 2018 - about 6 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 | 1972703056 | NPPES |
| Washington | MEDICAID | 8552374 |
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