Williams, Jill Annette
Williams, Jill Annette is an individual health care provider with primary practice located at 400 S 43Rd St , Renton WA 98055-5714. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Williams, Jill Annette can be contacted via phone (425) 251-5165.Contact Information
Primary practice address
400 S 43Rd St
Renton WA 98055-5714
Phone: (425) 251-5165
Fax: (425) 656-4028
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 2081H0002X | MD00041527 | Washington |
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | MD00041527 | Washington |
Profile Details
NPI number | 1962628107 |
---|---|
LBN Legal business name | Williams, Jill Annette |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 17th, 2007 |
Last updated | Jul 24th, 2017 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1962628107 | NPPES |
Washington | Other | 339491 | L&I |
Washington | Other | 4659WI | L&I |
Washington | MEDICAID | 8369886 | L&I |
Washington | Other | US5533762 | L&I |
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