Williams, Jerry L

Williams, Jerry L is an individual health care provider with primary practice located at 600 York St , Manitowoc WI 54220-6845. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is his primary health care specialty. Williams, Jerry L can be contacted via phone (920) 320-6750.

Contact Information

Primary practice address
600 York St Manitowoc WI 54220-6845
Phone: (920) 320-6750
Fax: (920) 682-1981
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 1517-024 Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 1517-024 Wisconsin

Profile Details

NPI number 1649202334
LBN Legal business name Williams, Jerry L
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Jul 8th, 2007 - about 18 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 1649202334 NPPES
Wisconsin Other 719078 T19 MANAGED HEALTH SERVIC
Wisconsin MEDICAID 40132800 T19 MANAGED HEALTH SERVIC

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