Williams, James Reginald

Williams, James Reginald is an individual health care provider with primary practice located at 2200 Springport Rd , Jackson MI 49202-1432. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Williams, James Reginald can be contacted via phone (517) 784-9356.

Contact Information

Primary practice address
2200 Springport Rd Jackson MI 49202-1432
Phone: (517) 784-9356
Fax: (517) 780-9286
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301062654 Michigan

Profile Details

NPI number 1104823541
LBN Legal business name Williams, James Reginald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Aug 20th, 2012 - about 13 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 1104823541 NPPES
Michigan MEDICAID 4473778-10

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