Williams, Leon W

Williams, Leon W is an individual health care provider with primary practice located at 5200 Fairview Blvd , Wyoming MN 55092-8013. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Williams, Leon W can be contacted via phone (651) 464-4611.

Contact Information

Primary practice address
5200 Fairview Blvd Wyoming MN 55092-8013
Phone: (651) 464-4611
Fax: (651) 464-7627
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R0544626 Minnesota

Profile Details

NPI number 1386614014
LBN Legal business name Williams, Leon W
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 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 1386614014 NPPES
Other 28198WI BLUE CROSS
MEDICAID 43345800 BLUE CROSS
Other 965621007641 BLUE CROSS

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