Williams, James M

Williams, James M is an individual health care provider with primary practice located at 2480 Marina Cir Unit 114 , Green Bay WI 54304-4875. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Williams, James M can be contacted via phone (920) 360-6282.

Contact Information

Primary practice address
2480 Marina Cir Unit 114 Green Bay WI 54304-4875
Fax: (920) 283-1278
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 44378-020 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 44378-020 Wisconsin

Profile Details

NPI number 1407849433
LBN Legal business name Williams, James M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Mar 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407849433 NPPES
Wisconsin MEDICAID 34203400

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