Williams, Johnny W

Williams, Johnny W is an sole proprietor health care provider with primary practice located at 1029 Medical Center Cir Suite 200, Mayfield KY 42066-1177. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Williams, Johnny W can be contacted via phone (270) 251-4545.

Contact Information

Primary practice address
1029 Medical Center Cir Suite 200 Mayfield KY 42066-1177
Fax: (270) 251-4546
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 27423 Kentucky

Profile Details

NPI number 1992759641
LBN Legal business name Williams, Johnny W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2006
Last updated Mar 6th, 2008 - about 17 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 1992759641 NPPES
Kentucky MEDICAID 64274236
Kentucky Other 000000207063

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