Williams, Jack Brook

Williams, Jack Brook is an individual health care provider with primary practice located at 5454 Wisconsin Ave Suite 1535, Chevy Chase MD 20815-6901. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Williams, Jack Brook can be contacted via phone (301) 652-8847.

Contact Information

Primary practice address
5454 Wisconsin Ave Suite 1535 Chevy Chase MD 20815-6901
Phone: (301) 652-8847
Fax: (301) 652-8320
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X D0058054 Maryland

Profile Details

NPI number 1598738189
LBN Legal business name Williams, Jack Brook
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Jul 8th, 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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