Williams, Mark Frederic
Williams, Mark Frederic is an sole proprietor health care provider with primary practice located at 1205 York Rd Ste 33, Lutherville MD 21093-6211. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Williams, Mark Frederic can be contacted via phone (410) 494-7060.Contact Information
Primary practice address
1205 York Rd Ste 33
Lutherville MD 21093-6211
Phone: (410) 494-7060
Fax: (410) 832-5202
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | D0043030 | Maryland |
Profile Details
| NPI number | 1104820828 |
|---|---|
| LBN Legal business name | Williams, Mark Frederic |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Apr 8th, 2014 - about 10 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 | 1104820828 | NPPES |
| Maryland | MEDICAID | 076331400 |
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