Williams, Jonathan Keith
Williams, Jonathan Keith is an individual health care provider with primary practice located at 3910 Washington Parkway , Idaho Falls ID 83404-7596. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Williams, Jonathan Keith can be contacted via phone (208) 523-1122.Contact Information
Primary practice address
3910 Washington Parkway
Idaho Falls ID 83404-7596
Phone: (208) 523-1122
Fax: (208) 523-2582
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NP-871A | Idaho |
Profile Details
| NPI number | 1821253683 |
|---|---|
| LBN Legal business name | Williams, Jonathan Keith |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2008 |
| Last updated | Oct 15th, 2021 - about 3 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 | 1821253683 | NPPES |
| Idaho | MEDICAID | 1821253683 |
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