Williams, Jessica L

Williams, Jessica L is an individual health care provider with primary practice located at 282 Washington St , Hartford CT 06106. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Obesity Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Williams, Jessica L can be contacted via phone (860) 837-6717.

Contact Information

Primary practice address
282 Washington St Hartford CT 06106
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 047548 Connecticut
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 50145-020 Wisconsin
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036115080 Illinois
Allopathic & Osteopathic Physicians / Obesity Medicine 2080B0002X 047548 Connecticut

Profile Details

NPI number 1821148610
LBN Legal business name Williams, Jessica L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated May 8th, 2023 - about last year

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 1821148610 NPPES
Wisconsin MEDICAID 34771200
Wisconsin MEDICAID 036115080

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